Deborah Lynn Zito, PA-C,IBCLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

002234 Issued in GA

Practice address

2487 Demere Rd Ste 500
St Simons Island, GA 31522-5644

Phone

(912) 268-4488

Fax

(888) 503-7119

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Centered for Life, Inc

  • Counselor
  • St Simons Island, GA
  • NPI 1922686682
  NPD

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1316051030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 DUNBARTON CT",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221013",
            "telephone_number": "912-638-0782",
            "fax_number": "912-554-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2487 DEMERE RD STE 500",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315225644",
            "telephone_number": "912-268-4488",
            "fax_number": "888-503-7119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "192 Dunbarton Ct",
            "address_purpose": "LOCATION",
            "city": "St Simons Island",
            "state": "GA",
            "postal_code": "315221013",
            "country_code": "US",
            "telephone_number": "912-996-0819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZITO",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C,IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "002234",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "GA",
            "license": "10875901",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "002234",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001874A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSE",
            "identifier": "002234",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.centeredforlife.com",
            "affiliation": "Y",
            "endpointDescription": "business website",
            "affiliationName": "Centered for Life, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "portal",
            "address_1": "2487 Demere Rd Ste 500",
            "city": "St Simons Island",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315225644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Barry Williams, PHARMD
• Renee J Williamson, M.S.CCC-SLP
• Isabella Wilson, MSN, APRN, AGNP-C
• Victoria Ryan Wolfes
• Melissa A Wood-Katz, MD

• Medical Physician Assistant in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.