Deborah Ann Medearis, M.DIV., M.A.

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

770 Canton Hwy
Cumming, GA 30040-8327

Phone

(404) 636-1457

NPI assigned

Feb 22, 2007

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

Credentials

Master of Arts

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659406270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 ANDALUSIA TRL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303601919",
            "telephone_number": "404-636-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 CANTON HWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408327",
            "telephone_number": "404-636-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEARIS",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "M.DIV., M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pastoral Counselor in Cumming, GA
• Providers in Cumming, GA by specialty
• Pastoral Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.