Skylar L Deerman

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

328 Wildwood Rd
Gadsden, AL 35901-5610

Phone

(256) 613-3931

NPI assigned

Aug 31, 2022

Last updated

Aug 31, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Dare Greatly Neuro Systems LLC

  • Electrodiagnostic Medicine Physician
  • Gadsden, AL
  • NPI 1578223350
  NPD Authorized official
• Jacket Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Gadsden, AL
  • NPI 1710545843
  NPD Authorized official
• Southeastern Bracing LLC

  • Durable Medical Equipment & Medical Supplies
  • Birmingham, AL
  • NPI 1013416155
  NPD

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1063132959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 WILDWOOD RD",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015610",
            "telephone_number": "256-613-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 WILDWOOD RD",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015610",
            "telephone_number": "256-613-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEERMAN",
        "first_name": "SKYLAR",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skylar.deerman@jacketmedical.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "328 Wildwood Rd",
            "city": "Gadsden",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359015610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua Scott Davis, PHARM.D.
• Rana Davis, FNP-C
• Ann De Jong, MD
• Cameron Dean
• Shannon M Deaton, DPM
• Jerre S Dendy, RPT
• Maurice Earnest Dennis Jr., M.D.
• Dental Care of Alabama LLC (Cumberland Dental of Gadsden)
• Diagnostic Plus LLC
• James Gary Dial, M.D.

• Electroneurodiagnostic Specialist/Technologist in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Electroneurodiagnostic Specialist/Technologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.