Debnam Clinic PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DEBNAM CLINIC PA

Practice address

524 S Blount St
Raleigh, NC 27601-1828

Phone

(919) 832-1667

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marie Georgette Debnam, M.D.NPI 1205965068

Title

President

Phone

(919) 832-1667

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marie Georgette Debnam, MD

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1205965068
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1215143185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 POOLE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102656",
            "telephone_number": "919-832-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S BLOUNT ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011828",
            "telephone_number": "919-832-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBNAM CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "DEBNAM",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "GEORGETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-832-1667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890197H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "0197H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Beth Dearmon
• Cathy Deats
• Annie Deaver
• Olubunmi Christiana Debayo-Doherty
• Tammy Marie Debevoise, DPT
• Josiah Lavika Debnam, MS
• Marie Georgette Debnam, MD
• Rosie Debnam, LPN
• Darren Lee Debo, LCSW
• Patricia Anne Deboer, MSW LCSW

• Internal Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.