Jimal Romane Deas

Primary specialty

Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X

License

MT009726 Issued in GA

Practice address

3075 Jonquil Dr SE
Smyrna, GA 30080-3719

Phone

(803) 720-9353

NPI assigned

Dec 21, 2023

Last updated

Dec 21, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1306615141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 SUMMIT FOREST DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300686071",
            "telephone_number": "803-316-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 JONQUIL DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803719",
            "telephone_number": "803-720-9353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Cains Hill Pl NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303051809",
            "country_code": "US",
            "telephone_number": "803-720-9353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 Franklin Ct SE Ste 300",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300678933",
            "country_code": "US",
            "telephone_number": "803-720-9353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAS",
        "first_name": "JIMAL",
        "middle_name": "ROMANE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "SC",
            "license": "MAS.6263",
            "primary": false
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "GA",
            "license": "MT009726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane D Day, DC
• Ryan T. Day, LPC, NCC
• Richard John De Carlo, D.C.
• Bryan J De Marco, M.D.
• Eric Deal, DO
• Nicole Shearon Decker
• Veronica D. Delaney, ARNP, FNP-C
• Coralis Delgado Rivera, DC
• Delmar Gardens of Smyrna, LLC (Delmar Gardens of Smyrna)
• Delmar Gardens of Smyrna, LLC (Delmar Gardens of Smyrna)

• Sports Medicine (Preventive Medicine) Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Sports Medicine (Preventive Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.