Individual provider Active NPI

Michelle Lynne Deeves, DO

  • Family Medicine Physician
  • Dublin, GA
National Provider Identifier
1164622924
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
64204 Issued in GA
Practice address
908 Hillcrest Parkway
Dublin, GA 31021
Phone
(478) 272-7411
Fax
(478) 274-9809
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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 64204 GA Primary

Addresses

Primary practice location

908 Hillcrest Parkway
Dublin, GA 31021

Mailing address

908 Hillcrest Parkway
Dublin, GA 31021
Phone (478) 272-7411

Other identifiers 1

IdentifierTypeStateIssuer
620837830AMedicaidGA

Other names 1

  • Miss Michelle Lynne Miller Former name

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
I20101019000078 GA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2961695382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Center LLPGroup PAC ID 9133032774, 12 clinicians

Practice addresses (Care Compare)

908 Hillcrest Pkwy
Dublin, GA 31021-4206
Phone 4782727411203

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Vidalia, GA, CCN 117075
  • Fairview Park Hospital Hospital, Dublin, GA, CCN 110125

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center, LLP CurrentSince Aug 2, 2010 Accepting new patients

Locations

908 Hillcrest Pkwy
Dublin, GA 31021
Phone (478) 272-7411

Interoperability endpoints

  • Direct secure messaging: michelle.deeves@dublinmc.eclinicaldirectplus.com

Organizations & group practices 1

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 2

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1164622924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 HILLCREST PARKWAY",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021",
            "telephone_number": "478-272-7411",
            "fax_number": "478-274-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 HILLCREST PARKWAY",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021",
            "telephone_number": "478-272-7411",
            "fax_number": "478-274-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEVES",
        "first_name": "MICHELLE",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "64204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620837830A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MILLER",
            "middle_name": "LYNNE",
            "prefix": "MISS",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.