Organization Active NPI

Alan P Deese MD PC

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1780750992
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
041049 Issued in GA
Legal business name
ALAN P DEESE MD PC
Practice address
420 Charter Blvd
Suite 405
Macon, GA 31210
Phone
(478) 741-7441
Fax
(478) 741-7465
NPI assigned
Nov 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alan Paul DeeseNPI 1134248149
Title
President
Phone
(478) 741-7441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 041049 GA Primary

Addresses

Primary practice location

420 Charter Blvd
Suite 405
Macon, GA 31210

Mailing address

420 Charter Blvd
Suite 405
Macon, GA 31210
Phone (478) 741-7441

Other identifiers 1

IdentifierTypeStateIssuer
52650819OtherGABCBS

National Provider Directory

National Provider Directory

Locations

420 Charter Blvd
Ste 405
Macon, GA 31210
Phone (478) 741-7441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780750992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CHARTER BLVD",
            "address_2": "SUITE 405",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31210",
            "telephone_number": "478-741-7441",
            "fax_number": "478-741-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CHARTER BLVD",
            "address_2": "SUITE 405",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31210",
            "telephone_number": "478-741-7441",
            "fax_number": "478-741-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN P DEESE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEESE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-741-7441"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "041049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52650819",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.