Laurie Ann Deemer, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN 011724 Issued in GA

Practice address

2104 Newton Drive NE
Covington, GA 30014-2456

Phone

(770) 787-2828

Fax

(770) 786-2167

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1922118124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 NEWTON DRIVE NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142456",
            "telephone_number": "770-787-2828",
            "fax_number": "770-786-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 NEWTON DRIVE NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142456",
            "telephone_number": "770-787-2828",
            "fax_number": "770-786-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEMER",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN 011724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1459004",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahlon Lynn Davidson, RPH
• Sarah Davis, PSY.D.
• Yverose De St. Pierre
• Stephen Wesley Dean, D.M.D.
• Decatur Pediatrics Group - Covington
• Thamani Azizi Delgardo, RN
• Voncille Demesa, PHARMD
• Jill Treadwell Denman, NP
• Aleslie Dennis, OTR/L
• Brandon Dennis

• Dentist in Covington, GA
• Providers in Covington, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.