Organization Active NPI

Deel Initiave Inc

  • Adult Health Nurse Practitioner
  • Inman, SC
National Provider Identifier
1861219446
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
DEEL INITIAVE INC
Practice address
165 Stallion Rd Ste a
Inman, SC 29349-8511
Phone
(864) 304-5982
Fax
(828) 570-5272
NPI assigned
Sep 24, 2024
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Gerald Orbia Deel, AGPCNP / CLINPSYDNPI 1740763697
Title
Office Manager
Phone
(864) 304-5982

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Addiction Medicine (Family Medicine) Physician 207QA0401X NU

Addresses

Primary practice location

165 Stallion Rd Ste a
Inman, SC 29349-8511

Mailing address

165 Stallion Rd Ste a
Inman, SC 29349-8511
Phone (864) 304-5982

National Provider Directory

National Provider Directory

Locations

165 Stallion Rd
Ste A
Inman, SC 29349
Phone (864) 304-5982

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": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1861219446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 STALLION RD STE A",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293498511",
            "telephone_number": "864-304-5982",
            "fax_number": "828-570-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 STALLION RD STE A",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293498511",
            "telephone_number": "864-304-5982",
            "fax_number": "828-570-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEL INITIAVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "DEEL",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "ORBIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-304-5982",
        "authorized_official_credential": "AGPCNP / CLINPSYD"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inman, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.