Deidra Miesha Printup, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN223974 Issued in GA

Practice address

1267 Highway 54 W Ste 3200
Fayetteville, GA 30214-2111

Phone

(770) 632-9900

NPI assigned

Nov 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Peachtree Fayette Women'S Specialists

  • Obstetrics & Gynecology Physician
  • Fayetteville, GA
  • NPI 1164475703
  NPD
• United Obstetrics and Gynecology, P.C.

  • Obstetrics & Gynecology Physician
  • Tifton, GA
  • NPI 1205847639
  NPD (past)
• Womens Center for Advanced Surgery Inc

  • Ambulatory Surgical Clinic/Center
  • Tifton, GA
  • NPI 1295086049
  NPD (past)

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1629843446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 OLD OCILLA RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941644",
            "telephone_number": "229-391-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 HIGHWAY 54 W STE 3200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142111",
            "telephone_number": "770-632-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Watson Blvd # 301",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310933606",
            "country_code": "US",
            "telephone_number": "229-391-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 Westpark Ct Ste 205",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302691426",
            "country_code": "US",
            "telephone_number": "770-632-9900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10600 Lochridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300144411",
            "country_code": "US",
            "telephone_number": "229-391-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINTUP",
        "first_name": "DEIDRA",
        "middle_name": "MIESHA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN223974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginari Gibb Price, M.D.
• Letitia W Price, PA
• Primary Anesthesia LLC
• Primed Health, Inc.
• Dawn Aiesha Printup, FNP-BC
• Priority Hospice LLC
• Privia Medical Group of Georgia LLC
• Privia Pediatric Medical Group of Georgia LLC
• Procare Network
• Production Physicos,LLC

• Family Nurse Practitioner in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.