Derek Lamar Dickerson
Peer Specialist • Chattanooga, TN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Derek Dickerson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Derek Dickerson was a registered Peer Specialist practicing in Chattanooga, TN. Throughout an active medical career spanning 2 years, Derek Dickerson provided care at the practice location at 509 S HIGHLAND PARK AVE until profile deactivation on 2023-12-20.
Practice Location & Contact Primary Location
509 S Highland Park Ave
Chattanooga, TN 374042932
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Chattanooga, TN
Practicing in Chattanooga, TN (165 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Social Worker
Case Manager/Care Coordinator
Peer Specialist
Registered Nurse - Psychiatric/Mental Health
Registered Nurse
Behavior Technician
Case Manager/Care Coordinator
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 20, 2023
NPI status registered as active in NPPES database
Registered at 509 S HIGHLAND PARK AVE, CHATTANOOGA, TN 374042932 (Tel: 4232666751)
Registered at 200 TECH CENTER DR, KNOXVILLE, TN 379122747 (Tel: 8656379711)
Recorded as DEREK DICKERSON
Peer Specialist
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
200 Tech Center Dr
Knoxville, TN 379122747
Phone: 8656379711
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