Deaundre Alfonzo Dyer, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2020-04561 Issued in NC

Practice address

4505 Fair Meadows LN Ste 215
Raleigh, NC 27607-6449

Phone

(919) 900-7744

Fax

(888) 789-0771

NPI assigned

May 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Family Practice

Education

Michigan State University College of Osteopathic Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_ddyer11@landmarkhealth-direct.org
• Direct secure messaging: deaundre.dyer@871630785544196.direct.elationemr.com
• Direct secure messaging: ddyer790146@direct.unc.nchie.net

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.

• Direct Medical Xperience

  • Primary Care Clinic/Center
  • Raleigh, NC
  • NPI 1285341834
  Medicare reassignment NPD Authorized official
• Duke Health Integrated Practice, Inc.

  • General Practice Physician
  • Durham, NC
  • NPI 1205553369
  Medicare reassignment Care Compare group NPD
• Duke University Health System, Inc.

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1376574798
  Medicare reassignment
• Duke University Health System, Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Durham, NC
  • NPI 1427187525
  NPD
• Duke University Health System, Inc.

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1477584894

  Family Medicine

  NPD
• Gibbons Family Medicine

  • Family Medicine Physician
  • Cary, NC
  • NPI 1376553610
  NPD (past)

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1215427018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11845 RETAIL DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 FAIR MEADOWS LN STE 215",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076449",
            "telephone_number": "919-900-7744",
            "fax_number": "888-789-0771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14601 Detroit Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "OH",
            "postal_code": "44107",
            "country_code": "US",
            "telephone_number": "216-237-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYER",
        "first_name": "DEAUNDRE",
        "middle_name": "ALFONZO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "58.030265",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2020-04561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddyer790146@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "618 S Pierce St Ste 102",
            "city": "Eden",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272885863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anand Ghanshyam Dwivedi, MD
• Jeffrey Edward Dwulet, DDS
• Kathleen Dwyer, OTR/L, CHT, CHC
• Christina Dyck, P.T.A.
• Christina Louise Dyer, RDN, LD
• Maria Dyer, FNP-BC
• Nancy Catherine Dyer, RDN, LDN
• Destiny Dykeman, RBT
• Carolyn Marie Dykstra
• Dynamedics Healthcare Services, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.