Mr Leonard Davey Deramus, PA-C - Physician Assistant in Athens, GA

Mr Leonard Davey Deramus, PA-C is a Physician Assistant based in Athens, Georgia. Mr Leonard Davey Deramus is licensed to practice in Georgia (license number 001541) and his current practice location is 55 Carlton St, Athens, Georgia. He can be reached at his office (for appointments etc.) via phone at (706) 542-8609.

NPI number for Mr Leonard Davey Deramus is 1073598645 and his current mailing address is 55 Carlton St, Athens, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073598645.

Contact Information

Mr Leonard Davey Deramus, PA-C
55 Carlton St,
Athens, GA 30602-1503
(706) 542-8609
Not Available



Provider's Profile

Full NameMr Leonard Davey Deramus
GenderMale
SpecialityPhysician Assistant
Location55 Carlton St, Athens, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073598645
  • Provider Enumeration Date: 12/07/2005
  • Last Update Date: 01/16/2013

Medical Identifiers

Medical identifiers for Mr Leonard Davey Deramus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073598645NPI-NPPES
000261093BMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 001541 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Leonard Davey Deramus is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Leonard Davey Deramus, PA-C
55 Carlton St,
Athens, GA 30602-1503

Ph: (706) 542-8609
Mr Leonard Davey Deramus, PA-C
55 Carlton St,
Athens, GA 30602-1503

Ph: (706) 542-8609

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› Verified 1 days ago


Physician Assistant Nurses in Athens, GA

Kayla Weaver,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3320 Old Jefferson Rd, Athens, GA 30607
Phone: 706-613-1625    
Kalen Elizabeth Ashford, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1061 Dowdy Rd Ste 202, Athens, GA 30606
Phone: 706-389-8941    Fax: 706-389-8942
Jordan Barr,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3320 Old Jefferson Rd Bldg 700, Athens, GA 30607
Phone: 706-353-2990    
Amanda Wilkins, CAA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1199 Prince Ave, Athens, GA 30606
Phone: 706-543-3449    
Julie A Puder, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 300 Hawthorne Ln, Athens, GA 30606
Phone: 706-353-7648    Fax: 706-353-7788
Joseph Hale, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1765 Old West Broad St, Athens, GA 30606
Phone: 706-549-1663    Fax: 706-546-8792
Marie B Anderson, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 120 Trinity Pl, Athens, GA 30607
Phone: 706-543-2718    Fax: 706-353-3709

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