Adam Lee Deshong, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3014212 Issued in KY

Practice address

234 Brenwood St
Berea, KY 40403-1637

Phone

(859) 985-0302

NPI assigned

Jan 20, 2020

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

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Lexington Urgent Care PLLCGroup PAC ID 9830344688, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Lexington Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Lexington, KY
  • NPI 1225374887
  Medicare reassignment Care Compare group NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment Care Compare group NPD
• Berea Urgent Care LLC

  • Nurse Practitioner
  • Berea, KY
  • NPI 1912054792
  Medicare reassignment NPD
• Georgetown Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Georgetown, KY
  • NPI 1780838847
  Medicare reassignment NPD
• Man O War Urgent Care LLC

  • Urgent Care Clinic/Center
  • Lexington, KY
  • NPI 1083101240
  Medicare reassignment NPD

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1093345977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 AUGUSTA DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757887",
            "telephone_number": "419-775-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 BRENWOOD ST",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031637",
            "telephone_number": "859-985-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHONG",
        "first_name": "ADAM",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Phillip Davis
• Gary Ralph Davis, LCSW
• Sandra Hope Davis, LCSW
• Leigh A Delair, MD
• Department of Veterans Affairs
• Leslie Paige Allen Devers, DO
• Ma Joy Sandra Buenafe Dionisio, M.D.
• Shannon Downing
• Mary Downs, LMT
• Dr Edd Easton Hogg PSYD PLLC

• Family Nurse Practitioner in Berea, KY
• Providers in Berea, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.