Individual provider Active NPI

Deshia Dees, SLP

  • Speech-Language Pathologist
  • Fayetteville, GA
National Provider Identifier
1376293027
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP011981 Issued in GA
Practice address
290 Highway 314 Ste B
Fayetteville, GA 30214-7813
Phone
(678) 789-6400
Fax
(404) 994-7728
NPI assigned
Mar 25, 2022
Last updated
Mar 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP011981 GA Primary

Addresses

Primary practice location

290 Highway 314 Ste B
Fayetteville, GA 30214-7813

Mailing address

290 Highway 314 Ste B
Fayetteville, GA 30214-7813
Phone (678) 789-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220526000958 GA Practitioner - Qualified Speech Language Pathologist 2567840929 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Therapy, LLC CurrentSince Apr 1, 2022 Accepting new patients

Locations

290 Highway 314
Ste B
Fayetteville, GA 30214
Phone (404) 994-7727

Organizations & group practices 1

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": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1376293027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 HIGHWAY 314 STE B",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147813",
            "telephone_number": "678-789-6400",
            "fax_number": "404-994-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 HIGHWAY 314 STE B",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147813",
            "telephone_number": "678-789-6400",
            "fax_number": "404-994-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEES",
        "first_name": "DESHIA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.