Active NPI
John Carlos McDearman IV, DO
- Student in an Organized Health Care Education/Training Program
- Phenix City, AL
National Provider Identifier
1336034024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 17723
- Practice address
- 4401 Riverchase Dr
Phenix City, AL 36867-7483 - Phone
- (334) 732-3000
- NPI assigned
- Jun 11, 2025
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 17723 | GA | Primary |
Addresses
Primary practice location
4401 Riverchase Dr
Phenix City, AL 36867-7483
Mailing address
4401 Riverchase Dr.
C/O Sarah Johnston
Phenix City, AL 36867
Phone (334) 732-3022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17723 | GA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1336034024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 RIVERCHASE DR.",
"address_2": "C/O SARAH JOHNSTON",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "36867",
"telephone_number": "334-732-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 RIVERCHASE DR",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368677483",
"telephone_number": "334-732-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDEARMAN",
"first_name": "JOHN",
"middle_name": "CARLOS",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-11",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "GA",
"license": "17723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phenix City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.