Individual provider Active NPI

Deanna Lee Holton, FNP

  • Family Nurse Practitioner
  • Americus, GA
National Provider Identifier
1427580216
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN216778 Issued in GA
Practice address
100 Plantation Ridge Dr Apt D
Americus, GA 31709-5282
Phone
(229) 474-6933
Fax
(888) 815-1851
NPI assigned
Mar 30, 2017
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN216778 GA Primary

Addresses

Primary practice location

100 Plantation Ridge Dr Apt D
Americus, GA 31709-5282

Mailing address

100 Plantation Ridge Dr Apt D
Americus, GA 31709-5282
Phone (229) 474-6933

Other names 1

  • Deanna Lee Gilmer Former name

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
I20180818000131 GA Practitioner - Nurse Practitioner 0648529073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Uro Gynecology, LLCGroup PAC ID 0446642995, 8 clinicians

Practice addresses (Care Compare)

100 Plantation Ridge Dr
Apt D
Americus, GA 31709-5282
Phone (229) 474-6933

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN216778GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Uro Gynecology ,LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

2411 Westgate Dr
Albany, GA 31707
Phone (229) 461-5926

100 Plantation Ridge Dr
Apt D
Americus, GA 31709
Phone (229) 474-6933

108 E 4th Ave
Cordele, GA 31015
Phone (229) 276-2190

2024 E Pinetree Blvd
Ste E
Thomasville, GA 31792
Phone (229) 474-6933

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBFFCD

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1427580216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PLANTATION RIDGE DR APT D",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317095282",
            "telephone_number": "229-474-6933",
            "fax_number": "888-815-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PLANTATION RIDGE DR APT D",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317095282",
            "telephone_number": "229-474-6933",
            "fax_number": "888-815-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTON",
        "first_name": "DEANNA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "GILMER",
            "middle_name": "LEE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Americus, GA

Sources for this page

Verify at the official NPI Registry.