Individual provider Active NPI

Quaison Trentus Dey, M.D.

  • Pediatrics Physician
  • Americus, GA
National Provider Identifier
1396995064
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
X Issued in GA
Practice address
609 E Lamar St
Americus, GA 31709-3737
Phone
(229) 924-8636
NPI assigned
Sep 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X X GA Primary

Addresses

Primary practice location

609 E Lamar St
Americus, GA 31709-3737

Mailing address

609 E Lamar St
Americus, GA 31709-3737
Phone (229) 924-8636

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170925001588 FL Practitioner - Family PracticePractitioner - Pediatric Medicine 1456625870 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
XGAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendry County Hospital Authority CurrentSince Jul 8, 2017 Accepting new patients
Hendry County Hospital Authority Current Accepting new patients
Hendry County Hospital Authority CurrentSince Jul 8, 2017 Accepting new patients
Hendry County Hospital Authority Past Accepting new patients

Locations

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

500 W Sagamore Ave
Clewiston, FL 33440
Phone (863) 902-3032

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.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1396995064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 E LAMAR ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093737",
            "telephone_number": "229-924-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E LAMAR ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093737",
            "telephone_number": "229-924-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEY",
        "first_name": "QUAISON",
        "middle_name": "TRENTUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-30",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

Verify at the official NPI Registry.