HEATHER DEBERRY (NPI# 1174918411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174918411 |
| Entity Type | Individual |
| Full Name | HEATHER DEBERRY |
| Credential | PA-C |
| Practice Address |
6300 Hospital Pkwy Suite 400 Johns Creek GA 30097-1828 |
| Mailing Address |
900 Circle 75 Pkwy Se Suite 1700 Atlanta GA 30339-3035 |
| Practice Telephone | 6782054260 |
| Practice Fax Number | 6784177187 |
| Mailing Telephone | 7709536929 |
| Mailing Fax Number | 7709536972 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 007616 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881830198 | Heather Deberry | Rehabilitation Counselor | 7200 Skyway, Paradise, CA 95969-3280 | 2008-12-17 |
| Street Address |
6300 HOSPITAL PKWY SUITE 400 |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30097-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164422572 | William Jay Lichtenfeld | Physical Medicine & Rehabilitation | 6300 Hospital Pkwy, Suite 400, Johns Creek, GA 30097-1828 | 2005-07-28 |
| 1801320510 | Johns Creek Center for Pain and Spine | Clinic/Center | 6300 Hospital Pkwy, Suite 425, Johns Creek, GA 30097-1828 | 2017-04-19 |
| 1922547538 | Andre Bell Sr. | Physical Therapist | 6300 Hospital Pkwy, Suite 400, Johns Creek, GA 30097-1828 | 2017-02-15 |
| 1831577568 | Orthoatlanta | Specialist | 6300 Hospital Pkwy, Johns Creek, GA 30097-1828 | 2015-05-14 |
| 1447665757 | Dorkesha Marvena Denise Hill | Specialist/Technologist | 6300 Hospital Pkwy, Suite 400, Johns Creek, GA 30097-1828 | 2014-06-25 |
| 1558787614 | Digestive Care Endoscopy | Clinic/Center | 6300 Hospital Pkwy, Ste 440, Johns Creek, GA 30097-1828 | 2014-03-13 |
| 1558796896 | Muccioli Dental, PC | Dentist | 6300 Hospital Pkwy, Suite 275, Johns Creek, GA 30097-1828 | 2013-09-05 |
| 1417295528 | Atlanta General and Bariatric Surgery Center, LLC | Clinic/Center | 6300 Hospital Pkwy, Suite 150, Johns Creek, GA 30097-1828 | 2013-01-24 |
| 1477804540 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 6300 Hospital Pkwy, Suite 300, Johns Creek, GA 30097-1828 | 2012-09-28 |
| 1003112970 | Digestive Care Physicians, LLC | Specialist | 6300 Hospital Pkwy, Suite 450, Johns Creek, GA 30097-1828 | 2011-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390369 | Caroline Grace Busbee | Physician Assistant | 5400 Laurel Springs Pkwy Ste 1401, Johns Creek, GA 30024-6098 | 2020-06-09 |
| 1790273597 | Megan Deanne Tracy | Physician Assistant | 6300 Hospital Pkwy Ste 100, Johns Creek, GA 30097-1829 | 2018-04-26 |
| 1184758096 | Jo Ann Yoon | Physician Assistant | 6335 Hospital Pkwy Ste 200, Johns Creek, GA 30097-1550 | 2007-03-15 |
| 1649746801 | Cassandra L Rullman | Physician Assistant | 6300 Hospital Pkwy Ste 100, Johns Creek, GA 30097-1829 | 2018-10-15 |
| 1972041465 | Eunice Sok | Physician Assistant | 10475 Medlock Bridge Rd, Suite 410, Johns Creek, GA 30097-4433 | 2017-02-06 |
| 1588039143 | Kelly Miskovic | Physician Assistant | 11459 Johns Creek Pkwy Ste 250, Johns Creek, GA 30097-3517 | 2015-12-08 |
| 1609283035 | Renee Therese Wright | Physician Assistant | 9690 Ventana Way, Johns Creek, GA 30022-6394 | 2014-07-17 |
| 1922411099 | James Barker Jr. | Physician Assistant | 6325 Hospital Pkwy, Emory Johns Creek Hospital, Johns Creek, GA 30097-5775 | 2014-06-06 |
| 1629356738 | Martha Chichi Mcelroy | Physician Assistant | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2011-07-25 |
| 1861700247 | Denice Moughamian | Physician Assistant | 10160 Medlock Bridge Rd, Suite A, Johns Creek, GA 30097-4419 | 2010-09-20 |
| Find all providers in JOHNS CREEK | ||||
| City | JOHNS CREEK |
| Zip Code | 30097 |
Please comment or provide details below to improve the information on HEATHER DEBERRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.