Individual provider Active NPI

Matthew Terry Deachin, PA-C

  • Physician Assistant
  • Clearwater, FL
National Provider Identifier
1780839738
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104487 Issued in FL
Practice address
1266 Turner St
Clearwater, FL 33756-5921
Phone
(727) 446-0176
Fax
(727) 442-0696
NPI assigned
Nov 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9104487 FL Primary

Addresses

Primary practice location

1266 Turner St
Clearwater, FL 33756-5921

Mailing address

1266 Turner St
Clearwater, FL 33756-5921
Phone (727) 446-0176

Other practice location 1

1779 S Pinellas Ave Ste 300
Tarpon Springs, FL 34689-1920
Phone (727) 940-2099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160119002515 FL Practitioner - Physician Assistant 2769785104 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9104487FLMDPhysician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1780839738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 TURNER ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565921",
            "telephone_number": "727-446-0176",
            "fax_number": "727-442-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 TURNER ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565921",
            "telephone_number": "727-446-0176",
            "fax_number": "727-442-0696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1779 S Pinellas Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tarpon Springs",
            "state": "FL",
            "postal_code": "346891920",
            "country_code": "US",
            "telephone_number": "727-940-2099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEACHIN",
        "first_name": "MATTHEW",
        "middle_name": "TERRY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.