DONALD ELLIS DEEP DO
NPI 1023810033
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Q: What is Donald Deep's NPI number?

The NPI number for Donald Deep is 1023810033. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Q: What is Donald Deep's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Donald Deep was last updated on September 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 27, 2025PECOS Enrolled

1350 S KINGS DR FL 3, CHARLOTTE, NC 28207(704) 446-1242 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2025, Mar 27, 2025 (2 updates tracked since 2025).

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About Donald Ellis Deep Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONALD ELLIS DEEP DO (NPI 1023810033) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023810033

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDONALD ELLIS DEEPCredential: DO

Location Address1350 S KINGS DR FL 3Charlotte, NC 28207-2134

Mailing Address380 Fox RunPowell, OH 43065-9742 · (614) 312-6837

Phone(704) 446-1242

Sole ProprietorYes

Enumeration DateMarch 27, 2025

Last NPPES UpdateSeptember 26, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2025

✔ NPI 1023810033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1350 S KINGS DR FL 3, Charlotte, NC 28207

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald Ellis Deep Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM DAVID LAIDIG

Student in an Organized Health Care Education/Training Program