Deshara Junay Merkerson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015982 Issued in GA

Practice address

1030 W Gordon Ave
Albany, GA 31701

Phone

(229) 432-9555

NPI assigned

Jun 20, 2012

Last updated

Dec 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Children's Dental Center, PC

  • Pediatric Dentistry
  • Cartersville, GA
  • NPI 1215005376
  NPD (past)
• Children's Dental Center, PC

  dba Children's Dental Center, PC of Rome

  • Pediatric Dentistry
  • Rome, GA
  • NPI 1427428085

  General Practice

  NPD (past)
• Children's Dental Ctr at Brookstone

  • Pediatric Dentistry
  • Acworth, GA
  • NPI 1013117878
  NPD (past)
• MH Dental PC

  dba Vital Smiles Georgia

  • General Practice Dentistry
  • Norcross, GA
  • NPI 1164640801
  NPD (past)

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1477816916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 PETUNIA DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956877659",
            "telephone_number": "707-816-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W GORDON AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31701",
            "telephone_number": "229-432-9555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8021 Florin Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958283140",
            "country_code": "US",
            "telephone_number": "916-383-5171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERKERSON",
        "first_name": "DESHARA",
        "middle_name": "JUNAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63266",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Jean Menke, NP
• Monica A Mennite, AUD, CCC-A
• Felicia Mensah
• Cherreka Mercer
• Meredyth Surgery Center, PC
• Merritt C Logan Speech Language Pathology
• Youseline Valencia Mesamours, NP
• Rebecca Meshanko, RDH
• David R Metheny, APRN
• MH Dental P.C. (Vital Smiles Georgia)

• General Practice Dentistry in Albany, GA
• Providers in Albany, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.