Individual provider Active NPI

Michael S. Deen, M.D.

  • Family Medicine Physician
  • Alma, GA
National Provider Identifier
1154429991
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
058459 Issued in GA
Practice address
203 S Wayne St
Alma, GA 31510-2919
Phone
(912) 632-8288
Fax
(912) 632-8458
NPI assigned
Sep 20, 2006
Last updated
Apr 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 058459 GA Primary

Addresses

Primary practice location

203 S Wayne St
Alma, GA 31510-2919

Mailing address

204 E 15TH St
Alma, GA 31510-2908
Phone (912) 632-8961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20070109000334 GA Practitioner - Family PracticePractitioner - General Practice 3173523560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Healthcare Collaboration, IncGroup PAC ID 8820442247, 3 clinicians
Oconee Family Medicine Center, PCGroup PAC ID 3274516588, 2 clinicians

Practice addresses (Care Compare)

224 Peachtree St
Baxley, GA 31513-8079
Phone (912) 705-5483

800 W Thomas St
Milledgeville, GA 31061-2674
Phone (478) 453-9346

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
058459GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Primary Care and Behavioral Health Services, LLC CurrentSince Feb 3, 2026 Accepting new patients
Oconee Family Medicine Center, PC Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Southern Healthcare Collaboration, Inc Family Medicine CurrentSince Feb 3, 2026 Accepting new patients

Locations

224 Peachtree St
Baxley, GA 31513
Phone (912) 705-5483

800 W Thomas St
Milledgeville, GA 31061
Phone (478) 453-9346

40 Wildes St
Surrency, GA 31563
Phone (912) 705-5483

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAFJAD
  • Direct secure messaging: michael.deen@bacon.gadirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Comfort Care HospiceBaxley, GA, CCN 111720 Hospice Contracted Managing Employee Dec 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1154429991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 15TH ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315102908",
            "telephone_number": "912-632-8961",
            "fax_number": "912-632-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S WAYNE ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315102919",
            "telephone_number": "912-632-8288",
            "fax_number": "912-632-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEN",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "058459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, GA

Sources for this page

Verify at the official NPI Registry.