Active NPI
Davey R Deal Sr., M.D.
- Gastroenterology Physician
- Macon, GA
National Provider Identifier
1063484939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 012995
- Practice address
- 310 Hospital Dr
Suite305
Macon, GA 31217-3895 - Phone
- (478) 464-2600
- Fax
- (478) 741-3631
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 012995 | GA | Primary |
Addresses
Primary practice location
310 Hospital Dr
Suite305
Macon, GA 31217-3895
Mailing address
310 Hospital Dr
Suite305
Macon, GA 31217-3895
Phone (478) 464-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012995 | GA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergetic Healings LLC | Past | Accepting new patients | |
| Davey R. Deal, Jr., M.D., LLC | Gastroenterology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Gray, GA
- NPI 1831967884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063484939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 HOSPITAL DR",
"address_2": "SUITE305",
"city": "MACON",
"state": "GA",
"postal_code": "312173895",
"telephone_number": "478-464-2600",
"fax_number": "478-741-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 HOSPITAL DR",
"address_2": "SUITE305",
"city": "MACON",
"state": "GA",
"postal_code": "312173895",
"telephone_number": "478-464-2600",
"fax_number": "478-741-3631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAL",
"first_name": "DAVEY",
"middle_name": "R",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "012995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.