Ricky G Deerman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12797 Issued in AL

Practice address

83 George Wallce Dr W
Rainsville, AL 35986

Phone

(256) 638-1181

Fax

(256) 638-1183

NPI assigned

Jan 30, 2006

Last updated

Jun 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• bcbs alabama network 01H0
• bcbs alabama network 01E0
• bcbs alabama network 01B0
• bcbs alabama network 01G0
• bcbs alabama network 01C0

Interoperability endpoints

• Direct secure messaging: rgdeerma@yourcarecommunity.org

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

• Dekalb Primary Care

  • Multi-Specialty Clinic/Center
  • Fort Payne, AL
  • NPI 1528821402
  Medicare reassignment NPD
• Fort Payne Clinic Corp.

  • Internal Medicine Physician
  • Fort Payne, AL
  • NPI 1396764395
  Medicare reassignment NPD
• Fort Payne Clinic Corp

  dba Dekalb Orthopedics & Sports Medicine

  • Durable Medical Equipment & Medical Supplies
  • Fort Payne, AL
  • NPI 1326521345
  NPD
• Fort Payne RHC Corp

  dba DeKalb Clinic

  • Internal Medicine Physician
  • Fort Payne, AL
  • NPI 1184679938
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1043281975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1188",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359861188",
            "telephone_number": "256-638-1181",
            "fax_number": "256-638-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 GEORGE WALLCE DR W",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "35986",
            "telephone_number": "256-638-1181",
            "fax_number": "256-638-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEERMAN",
        "first_name": "RICKY",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "12797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000018209",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B RAILROAD",
            "identifier": "080013703",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "51018209",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Crow, LPTA, ATC
• Kimberly Kay Crow, CRNP
• Anthony Dabbs, DC
• Iris Parker Davis, MS
• Timothy B Decker, D.O.
• Dekalb County Board of Education
• Dekalb Urgent Care and Wellness Clinic, LLC
• Savanna Joy Desantis, CRNP
• Katherine Woods Doolittle
• Dove Renew

• Family Medicine Physician in Rainsville, AL
• Providers in Rainsville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.