Active NPI
Deanna Merideth Coleman, RPH
- Pharmacist
- Augusta, GA
National Provider Identifier
1205174620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 025638
- Practice address
- 2902 Peach Orchard Rd
Augusta, GA 30906-3504 - Phone
- (706) 798-8088
- Fax
- (706) 560-1439
- NPI assigned
- Jan 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13077 | SC | |
| Pharmacist | 183500000X | 025638 | GA | Primary |
| Pharmacist | 183500000X | 26014204A | IN |
Addresses
Primary practice location
2902 Peach Orchard Rd
Augusta, GA 30906-3504
Mailing address
6821 Pecan Rd
Appling, GA 30802-2315
Phone (706) 541-9996
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)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26014204A | IN | MD | Pharmacist |
| 025638 | GA | MD | Obstetrics & Gynecology Physician |
| 13077 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1205174620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6821 PECAN RD",
"city": "APPLING",
"state": "GA",
"postal_code": "308022315",
"telephone_number": "706-541-9996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 PEACH ORCHARD RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309063504",
"telephone_number": "706-798-8088",
"fax_number": "706-560-1439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "DEANNA",
"middle_name": "MERIDETH",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-18",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "13077",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "025638",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26014204A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.