Individual provider Active NPI

Rodney James Snodgrass Deaton, M.D.

  • Psychiatry Physician
  • Roanoke, VA
National Provider Identifier
1003934274
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101277055 Issued in VA
Practice address
2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone
(540) 981-8025
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 50000 TN
Psychiatry Physician 2084P0800X CDR.0004378 CO
Psychiatry Physician 2084P0800X 01031938A IN
Psychiatry Physician 2084P0800X 202566 AK
Psychiatry Physician 2084P0800X MD61408068 WA
Psychiatry Physician 2084P0800X 0101277055 VA Primary
Psychiatry Physician 2084P0800X 75956 MN
Psychiatry Physician 2084P0800X 4301116311 MI

Addresses

Primary practice location

2017 Jefferson St SW
Roanoke, VA 24014-2419

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other practice location 1

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (276) 523-3111

Other practice location 2

3443 Dickerson Pike
Suite 640
Nashville, TN 37207-2519
Phone (615) 860-6500

Other practice location 3

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (612) 262-1220

Other practice location 4

1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000

Other practice location 5

1519 Main St
Sneedville, TN 37869-3657
Phone (423) 733-5000

Other practice location 6

851 Locust St
Rogersville, TN 37857-2407
Phone (423) 921-7000

Other practice location 7

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

Other practice location 8

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

Other practice location 9

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Other practice location 10

2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000

Other practice location 11

58 Carroll Street
Lebanon, VA 24266-4510
Phone (276) 883-8000

Other practice location 12

312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300

Other practice location 13

1501 W Elk Ave
Elizabethton, TN 37643-2874
Phone (423) 542-1300

Other practice location 14

2030 Temple Hill Rd
Erwin, TN 37650-8721
Phone (423) 743-3141

Other practice location 15

1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1100

Other practice location 16

16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000

Other practice location 17

245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000

Other practice location 18

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 636-4836

Other practice location 19

400 NE Mother Joseph Pl
Vancouver, WA 98664-3200
Phone (360) 514-3191

Other practice location 20

11600 W 2nd Pl
Lakewood, CO 80228-1527
Phone (720) 321-0000

Other practice location 21

127 Health Care Dr
Pennington Gap, VA 24277-2853
Phone (276) 299-5000

Other practice location 22

300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000

Other practice location 23

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-7660

Other identifiers 1

IdentifierTypeStateIssuer
100323830MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rdeaton654966@excellian.direct.allina.com Direct
Direct Messaging Address rdeaton385218@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IN, NY, VA, PA, MI, MO, MN, WI, OR, WA, NC, AK13 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 13

Enrollment IDStateProvider typePAC IDDetails
I20130813000561 TN Practitioner - Psychiatry 8921240425 Reassigns benefits to 1 organization
I20180118002565 IN Practitioner - Psychiatry 8921240425 Reassigns benefits to 8 organizations
I20230221001664 NY Practitioner - Psychiatry 8921240425
I20230316002439 VA Practitioner - Psychiatry 8921240425 Reassigns benefits to 1 organization
I20231118000712 PA Practitioner - Psychiatry 8921240425 Reassigns benefits to 1 organization
I20231228000851 MI Practitioner - Psychiatry 8921240425 Reassigns benefits to 2 organizations
I20240208002626 MO Practitioner - Psychiatry 8921240425 Reassigns benefits to 1 organization
I20240222002370 MN Practitioner - Psychiatry 8921240425
I20240222003010 WI Practitioner - Psychiatry 8921240425 Reassigns benefits to 2 organizations
I20240401003225 OR Practitioner - Psychiatry 8921240425 Reassigns benefits to 5 organizations
I20240416002962 WA Practitioner - Psychiatry 8921240425 Reassigns benefits to 8 organizations
I20240430003793 NC Practitioner - Psychiatry 8921240425 Reassigns benefits to 4 organizations
I20240717004440 AK Practitioner - Psychiatry 8921240425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Indiana University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alamance Regional Medical Center IncGroup PAC ID 5294647145, 71 clinicians
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians
Onslow Memorial Hospital IncGroup PAC ID 1456252899, 65 clinicians
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians
The Moses H Cone Memorial Hospital Operating CorporationGroup PAC ID 6204744600, 724 clinicians

Practice addresses (Care Compare)

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7500

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345

501 Billingsley Rd
Charlotte, NC 28211-1009
Phone 7044445881704444

5776 Grape Rd
Mishawaka, IN 46545-8460
Phone (570) 271-6144

600 E Blvd
Elkhart, IN 46514-2483

600 E Blvd 4TH FL Hospitalists
BMG Hospital Specialties
Elkhart, IN 46514-2483
Phone (574) 647-3050

700 Walter Reed Dr
Greensboro, NC 27403-1128
Phone (336) 832-9600

707 N Michigan St
400 BMG Behavioral Health South Bend
South Bend, IN 46601-1071
Phone (574) 647-8470

Hospital & facility affiliations

  • Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
202566AKMDPsychiatry Physician
CDR.0004378COMDPsychiatry Physician
4301116311MIMDPsychiatry Physician
50000TNMDPsychiatry Physician
0101277055VAMDPsychiatry Physician
MD61408068WAMDPsychiatry Physician

Practice roles (58 of 66)

OrganizationSpecialtyStatusNew patients
Peacehealth Psychiatry CurrentSince Oct 3, 2024 Accepting new patients
Allina Health System CurrentSince Mar 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 15, 2025 Accepting new patients
Peacehealth CurrentSince Oct 3, 2024 Accepting new patients
Peacehealth Current Accepting new patients
Onslow Memorial Hospital Inc CurrentSince Mar 24, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Mar 4, 2024 Accepting new patients
McLaren Medical Group Psychiatry CurrentSince Aug 1, 2024 Accepting new patients
McLaren Medical Group Current Accepting new patients
Peacehealth CurrentSince Feb 2, 2025 Accepting new patients
SSM Regional Health Services CurrentSince Jan 2, 2024 Accepting new patients
Peacehealth Psychiatry CurrentSince Jul 1, 2024 Accepting new patients
McLaren Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Peacehealth CurrentSince Oct 3, 2024 Accepting new patients
Peacehealth CurrentSince Feb 2, 2025 Accepting new patients
Carolinas Medical Center Psychiatry CurrentSince May 7, 2025 Accepting new patients
Allina Health System CurrentSince Mar 1, 2024 Accepting new patients
Wellmont Medical Associates Inc Current Accepting new patients
Carolinas Medical Center Current Accepting new patients
Tower Health Medical Group Current Accepting new patients
Carilion Medical Center CurrentSince Aug 22, 2025 Accepting new patients
Peacehealth Medical Group Cottage Grove Current Accepting new patients
Peacehealth CurrentSince Mar 6, 2024 Accepting new patients
Peacehealth CurrentSince Feb 2, 2025 Accepting new patients
Carolinas Medical Center CurrentSince May 7, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Apr 3, 2024 Accepting new patients
Nuvance Health Medical Practice PC Psychiatry CurrentSince Jan 19, 2023 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Nov 21, 2023 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Carilion Medical Center CurrentSince Aug 22, 2025 Accepting new patients
Geisinger Clinic CurrentSince Aug 6, 2024 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Apr 15, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Apr 3, 2024 Accepting new patients
Peacehealth CurrentSince Mar 6, 2024 Accepting new patients
Beacon Medical Group, Inc. Psychiatry CurrentSince Jan 7, 2026 Accepting new patients
Peacehealth Medical Group Psychiatry CurrentSince Mar 6, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Tower Health Medical Group CurrentSince Oct 10, 2023 Accepting new patients
Peacehealth Current Accepting new patients
Allina Health System CurrentSince Mar 1, 2024 Accepting new patients
SSM Regional Health Services CurrentSince Jan 2, 2024 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Peacehealth Current Accepting new patients
Tower Health Medical Group CurrentSince Oct 10, 2023 Accepting new patients
Beacon Medical Group Inc CurrentSince Jan 7, 2026 Accepting new patients
Peacehealth CurrentSince Oct 3, 2024 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 15, 2025 Accepting new patients
Geisinger Clinic CurrentSince Aug 6, 2024 Accepting new patients
Maury Regional Medical Group, Inc CurrentSince Dec 24, 2023 Accepting new patients
Peacehealth Current Accepting new patients
Allina Health System Current Accepting new patients
Maury Regional Hospital Marshall Medical Center CurrentSince Dec 24, 2023 Accepting new patients
Edward W. Sparrow Hospital Association Psychiatry CurrentSince Nov 21, 2023 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Allina Health System CurrentSince Mar 1, 2024 Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Onslow Memorial Hospital, Inc. Past Accepting new patients
Madison Behavioral Health, LLC Psychiatry PastSince Jul 1, 2012 Accepting new patients

Locations (25 of 65)

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

8175 Reliable Pkwy
Chicago, IL 60686

7655 Solutions Ctr
Chicago, IL 60677

5776 Grape Rd
Mishawaka, IN 46545

707 N Michigan St
Ste 400
South Bend, IN 46601
Phone (574) 647-4500

1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

5979 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-6370

1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2701 W Edgewood Dr
Ste 101
Jefferson Cty, MO 65109
Phone (573) 634-5303

Networks

  • IL PPO Downstate
  • KY PPO C-SNP
  • KY PPO
  • IL HMO C-SNP
  • OH PPO
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Interoperability endpoints

  • Direct secure messaging: rdeaton385218@direct.franciscanalliance.org
  • Direct secure messaging: rdeaton2994641@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 60

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 60

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1003934274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 JEFFERSON ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142419",
            "telephone_number": "540-981-8025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1990 Holton Ave E",
            "address_purpose": "LOCATION",
            "city": "Big Stone Gap",
            "state": "VA",
            "postal_code": "242193350",
            "country_code": "US",
            "telephone_number": "276-523-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3443 Dickerson Pike",
            "address_2": "Suite 640",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372072519",
            "country_code": "US",
            "telephone_number": "615-860-6500",
            "fax_number": "615-250-0464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4050 Coon Rapids Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554332522",
            "country_code": "US",
            "telephone_number": "612-262-1220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Tusculum Blvd",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377454279",
            "country_code": "US",
            "telephone_number": "423-787-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 Main St",
            "address_purpose": "LOCATION",
            "city": "Sneedville",
            "state": "TN",
            "postal_code": "378693657",
            "country_code": "US",
            "telephone_number": "423-733-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 Locust St",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572407",
            "country_code": "US",
            "telephone_number": "423-921-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N State Of Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046035",
            "country_code": "US",
            "telephone_number": "423-431-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brookside Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604627",
            "country_code": "US",
            "telephone_number": "423-857-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Carroll Street",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242664510",
            "country_code": "US",
            "telephone_number": "276-883-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Clintwood",
            "state": "VA",
            "postal_code": "242286786",
            "country_code": "US",
            "telephone_number": "276-926-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 W Elk Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376432874",
            "country_code": "US",
            "telephone_number": "423-542-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 Temple Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Erwin",
            "state": "TN",
            "postal_code": "376508721",
            "country_code": "US",
            "telephone_number": "423-743-3141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 S Shady St",
            "address_purpose": "LOCATION",
            "city": "Mountain City",
            "state": "TN",
            "postal_code": "376832021",
            "country_code": "US",
            "telephone_number": "423-727-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-636-4836",
            "fax_number": "360-636-6792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 NE Mother Joseph Pl",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986643200",
            "country_code": "US",
            "telephone_number": "360-514-3191",
            "fax_number": "360-729-3372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11600 W 2nd Pl",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281527",
            "country_code": "US",
            "telephone_number": "720-321-0000",
            "fax_number": "720-321-4165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Health Care Dr",
            "address_purpose": "LOCATION",
            "city": "Pennington Gap",
            "state": "VA",
            "postal_code": "242772853",
            "country_code": "US",
            "telephone_number": "276-299-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Med Tech Pkwy",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042277",
            "country_code": "US",
            "telephone_number": "423-302-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Tongass Ave",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999015746",
            "country_code": "US",
            "telephone_number": "907-228-7660",
            "fax_number": "907-228-8549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEATON",
        "first_name": "RODNEY",
        "middle_name": "JAMES SNODGRASS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "50000",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "CDR.0004378",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01031938A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "202566",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD61408068",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101277055",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "75956",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301116311",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100323830",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdeaton654966@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "4050 Coon Rapids Blvd NW",
            "city": "Coon Rapids",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554332522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdeaton385218@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "24 Joliet St",
            "city": "Dyer",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.