Individual provider Active NPI

Karen L Deal, FNP

  • Family Nurse Practitioner
  • Statesboro, GA
National Provider Identifier
1093856767
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN135390NP Issued in GA
Practice address
658 Northside Dr E Ste a
Statesboro, GA 30458-4828
Phone
(912) 764-9684
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN135390NP GA Primary

Addresses

Primary practice location

658 Northside Dr E Ste a
Statesboro, GA 30458-4828

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7211

Other identifiers 1

IdentifierTypeStateIssuer
443701665BMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address karen.deal.1@8824.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041201000298 GA Practitioner - Nurse Practitioner 7416912431 Reassigns benefits to 2 organizations
I20220112002862 NC Practitioner - Nurse Practitioner 7416912431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Georgia Hma Physician Management LLCGroup PAC ID 7214068592, 42 clinicians

Practice addresses (Care Compare)

1497 Fair Rd
Statesboro, GA 30458-0823

658 Northside Dr E
Suite a
Statesboro, GA 30458-4828
Phone (912) 764-9684

Hospital & facility affiliations

  • East Georgia Regional Medical Center Hospital, Statesboro, GA, CCN 110075

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN135390NPGAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Candler Urgent Care Centers LLC CurrentSince May 1, 2019 Accepting new patients
Wilmington Health PLLC CurrentSince Dec 30, 2021 Accepting new patients
Montgomery Emergency Group, LLC CurrentSince Nov 1, 2011 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
Wilmington ASC LLC CurrentSince Dec 30, 2021 Accepting new patients
St Josephs Candler Urgent Care Centers LLC CurrentSince May 1, 2019 Accepting new patients
Candler Medical Group, Inc. - Rincon Past Accepting new patients
Advanced Pediatric Specialists LLC Past Accepting new patients

Locations

107 Canal St
Pooler, GA 31322
Phone (912) 450-1945

101 Saint Josephs Candler Dr
Ste 100
Pooler, GA 31322
Phone (912) 450-1945

361 Commercial Dr
#F
Savannah, GA 31406
Phone (912) 355-2400

361 Commercial Dr
Savannah, GA 31406
Phone (912) 355-6221

1096 Bermuda Run
Statesboro, GA 30458
Phone (912) 871-5150

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

9101 Ocean Hwy E
Leland, NC 28451
Phone (910) 343-5464

204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066

5211 College Rd S
Wilmington, NC 28412
Phone (910) 772-6290

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

Interoperability endpoints

  • Direct secure messaging: karen.deal.1@8824.direct.athenahealth.com

Organizations & group practices 9

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.

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1093856767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7211",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 NORTHSIDE DR E STE A",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584828",
            "telephone_number": "912-764-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAL",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN135390NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "443701665B",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karen.deal.1@8824.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "658 Northside Dr E Ste A",
            "city": "Statesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304584828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.