Individual provider Active NPI

Deshia R. Saucer

  • Pathology Technician
  • Grayson, GA
National Provider Identifier
1811570567
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pathology TechnicianTaxonomy code 246R00000X
Practice address
2495 Turtle Ter
Grayson, GA 30017-2832
Phone
(470) 304-5844
NPI assigned
Apr 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pathology Technician 246R00000X Primary

Addresses

Primary practice location

2495 Turtle Ter
Grayson, GA 30017-2832

Mailing address

2495 Turtle Ter
Grayson, GA 30017-2832
Phone (470) 304-5844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1811570567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 TURTLE TER",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300172832",
            "telephone_number": "470-304-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 TURTLE TER",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300172832",
            "telephone_number": "470-304-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCER",
        "first_name": "DESHIA",
        "middle_name": "R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246R00000X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.