Raymond William Deen, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

74716 Issued in GA

Practice address

800 W Thomas St
Milledgeville, GA 31061-2674

Phone

(478) 453-9346

Fax

(478) 453-0205

NPI assigned

Jun 11, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oconee Family Medicine Center, PCGroup PAC ID 3274516588, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health Home health agency, Macon, GA, CCN 117135
• Enhabit Home Health Home health agency, Macon, GA, CCN 117152
• Navicent Health Baldwin Hospital, Milledgeville, GA, CCN 110150

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Oconee Family Medicine Center, PC

  • Family Medicine Physician
  • Milledgeville, GA
  • NPI 1578657821
  Medicare reassignment Care Compare group NPD

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

• Caresouth HHA Holdings of Middle Georgia, LLC

  • Home Health Agency
  • Macon, GA
  • NPI 1972762599
  Care Compare affiliation
• LHCG Ccxxvii, LLC

  • Home Health Agency
  • Milledgeville, GA
  • NPI 1962139675
  Care Compare affiliation
• Navicent Health Baldwin, Inc

  • General Acute Care Hospital
  • Milledgeville, GA
  • NPI 1841701562
  Care Compare affiliation

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1659719722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W THOMAS ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612674",
            "telephone_number": "478-453-9346",
            "fax_number": "478-453-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W THOMAS ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612674",
            "telephone_number": "478-453-9346",
            "fax_number": "478-453-0205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Shorter Ave NW",
            "address_2": "suite 201",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301654290",
            "country_code": "US",
            "telephone_number": "706-509-3300",
            "fax_number": "706-509-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEEN",
        "first_name": "RAYMOND",
        "middle_name": "WILLIAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-11",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "74716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghann L Davies, AU.D.
• Chermika Shante Davis
• Margaret Elizabeth Davis
• Keyanna Bresha Dawson
• Patricia Dedrick, ATC, LAT
• Roy Wendell Deen, M.D.
• William Deferia, M.D.
• Alisa Parham Dennis, ALISA DENNIS
• David Keith Dent, RPH
• Department of Behavioral Health and Developmental Disabilities

• Family Medicine Physician in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.