ALAN P DEESE MD PC (NPI# 1780750992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780750992 |
| Entity Type | Organization |
| Organization Name | ALAN P DEESE MD PC |
| Practice Address |
420 Charter Blvd Suite 405 Macon GA 31210 |
| Practice Telephone | 4787417441 |
| Practice Fax Number | 4787417465 |
| Mailing Telephone | 4787417441 |
| Mailing Fax Number | 4787417465 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALAN PAUL DEESE (PRESIDENT) |
| Authorized Official Telephone | 4787417441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 041049 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBS | 52650819 | 01 |
| Street Address |
420 CHARTER BLVD SUITE 405 |
| City | MACON |
| State | GA |
| Zip Code | 31210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508853219 | Vito John Bagnato | Surgery | 420 Charter Blvd, Suite 103, Macon, GA 31210-4854 | 2005-09-29 |
| 1790211399 | Bethesda Institute of Spine & Neurosurgery | Neurological Surgery | 420 Charter Blvd, #208, Macon, GA 31210-4854 | 2017-05-03 |
| 1992053912 | Catherine B Butler | Counselor | 420 Charter Blvd, Suite 205, Macon, GA 31210-4854 | 2012-08-23 |
| 1508120684 | Peter O. Holliday, IIi M.d. P.C. | Neurological Surgery | 420 Charter Blvd, Ste 402, Macon, GA 31210-4854 | 2012-07-03 |
| 1235498833 | Joseph Burnette, LLC | Surgery | 420 Charter Blvd, Suite 320, Macon, GA 31210-4854 | 2012-05-16 |
| 1851660443 | Palmyra Surgical, LLC | Surgery | 420 Charter Blvd, Suite 103, Macon, GA 31210-4854 | 2011-12-28 |
| 1124269089 | P O Holliday IIi Family Leasing Co LLC | Durable Medical Equipment & Medical Supplies | 420 Charter Blvd, Ste 402, Macon, GA 31210-4854 | 2009-03-23 |
| 1528231602 | Rebecca L Bass Md - Pulmonary Medicine PC | Specialist | 420 Charter Blvd, Suite 302, Macon, GA 31210-4854 | 2008-04-09 |
| 1134248149 | Alan Paul Deese | Internal Medicine | 420 Charter Blvd, Suite 405, Macon, GA 31210-4854 | 2007-03-29 |
| 1861532103 | Rebecca Lynn Bass | Specialist | 420 Charter Blvd, Suite 302, Macon, GA 31210-4854 | 2007-02-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174011811 | Frances Barnes Grant | Internal Medicine | 1842 Waverland Cir, Macon, GA 31211-1116 | 2018-04-27 |
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1598295719 | Lori Starr | Internal Medicine | 446 Poplar St Ste B, Macon, GA 31201-3336 | 2017-06-20 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1720456163 | Wellness Connect | Internal Medicine | 1209 Marlowe Dr, Macon, GA 31210-3107 | 2015-09-02 |
| 1396157657 | Almatmed H Mohamed Abdelsalam | Internal Medicine | 657 Hemlock St Ste 220, Macon, GA 31201-8311 | 2014-05-21 |
| 1114369865 | Douglas Farman Md LLC | Internal Medicine | 310 Hospital Dr Ste 320, Macon, GA 31217-8027 | 2013-07-23 |
| 1528328796 | Ahmad Azmi Kabbani | Internal Medicine | 640 Martin Luther King Jr Blvd Ste 200, Macon, GA 31201-3297 | 2012-05-22 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1649414657 | Lillette A Intaphan Md LLC | Internal Medicine | 432 Poplar St, Suite B, Macon, GA 31201-3336 | 2009-04-22 |
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| 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.