Individual provider Active NPI

Deidra Anne Slay, APRN, FNP

  • Emergency Medicine Physician
  • Covington, GA
National Provider Identifier
1326765918
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
RN248675 Issued in GA
Practice address
5126 Hospital Dr NE
Covington, GA 30014-2566
Phone
(770) 786-7053
NPI assigned
Oct 24, 2022
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X RN248675 GA Primary

Addresses

Primary practice location

5126 Hospital Dr NE
Covington, GA 30014-2566

Mailing address

524 Commerce Dr
Decatur, GA 30030-2608
Phone (770) 596-7156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230925000049 GA Practitioner - Nurse Practitioner 3375997414 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwinnett Emergency Specialists, LLCGroup PAC ID 0840373619, 50 clinicians
Northside Emergency Associates, P.C.Group PAC ID 9335135144, 41 clinicians
Coweta Emergency Group LLCGroup PAC ID 5395876452, 28 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (954) 939-5000

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 253-1912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Em-I Medical Service PC Emergency Medicine CurrentSince Aug 6, 2023 Accepting new patients
Coweta Emergency Group LLC Emergency Medicine CurrentSince Sep 13, 2023 Accepting new patients
Georgia Em-I Medical Services, LLC Emergency Medicine CurrentSince Aug 6, 2023 Accepting new patients
Northside Emergency Associates, LLC Emergency Medicine CurrentSince Sep 7, 2024 Accepting new patients
Gwinnett Emergency Specialists, LLC Emergency Medicine CurrentSince Jun 30, 2025 Accepting new patients
Walker Lake Emergency Group, PC Emergency Medicine CurrentSince Dec 5, 2023 Accepting new patients
Gwinnett Emergency Specialists Observation Services, LLC Emergency Medicine CurrentSince Jun 30, 2025 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince Aug 10, 2023 Accepting new patients
Georgia Em-I Medical Services. LLC Emergency Medicine Current Accepting new patients

Locations

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-2369

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1326765918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 COMMERCE DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302608",
            "telephone_number": "770-596-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 HOSPITAL DR NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142566",
            "telephone_number": "770-786-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAY",
        "first_name": "DEIDRA",
        "middle_name": "ANNE",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "RN248675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.