Active NPI
Justin G Deaton, M.D.
- Emergency Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MT191498
- Practice address
- 1020 Sansom St
1651 Thompson, Emergency Medicine Department
Philadelphia, PA 19107-5002 - Phone
- (215) 955-9837
- NPI assigned
- Jul 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MT191498 | PA | Primary |
Addresses
Primary practice location
1020 Sansom St
1651 Thompson, Emergency Medicine Department
Philadelphia, PA 19107-5002
Mailing address
1020 Sansom St
1651 Thompson, Emergency Medicine Department
Philadelphia, PA 19107-5002
Phone (215) 955-9837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Tennessee, HSC, College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 276-8500
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center Beaches
- HCA Florida Orange Park Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT191498 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| T M Carr MD PC | Emergency Medicine | Past | Accepting new patients |
Locations
1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000
1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000
820 Prudential Dr
Ste 713
Jacksonville, FL 32207
Phone (800) 936-5996
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1285686675
-
- Emergency Medicine Physician
- Brunswick, GA
- NPI 1477001972
-
- Emergency Medicine Physician
- Dyersburg, TN
- NPI 1992706097
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185840000000",
"number": "1326247388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 SANSOM ST",
"address_2": "1651 THOMPSON, EMERGENCY MEDICINE DEPARTMENT",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075002",
"telephone_number": "215-955-9837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 SANSOM ST",
"address_2": "1651 THOMPSON, EMERGENCY MEDICINE DEPARTMENT",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075002",
"telephone_number": "215-955-9837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEATON",
"first_name": "JUSTIN",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MT191498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.