Lee Anne Anne Dickerson, LCP
NPI 1184732307ActiveIndividual· Psychologist· Roswell, GA
Opted out of Medicare from January 2024 to January 2028. Psychologist (LCP) in Roswell, Georgia, licensed in GA and VA, with an NPI issued in August 2006.
Overview
| NPI | 1184732307 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCP |
| Sole proprietor | No |
| NPI issued | Aug 28, 2006 |
| Last updated in NPPES | Jan 25, 2024 |
| Certified by provider | Jan 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY004236 | GA |
| Psychologist | 103T00000X | 810003264 | VA |
| Psychologist, Clinical | 103TC0700X | 0810003264 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jan 25, 2024 – Jan 25, 2028 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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