MR. LEONARD DAVEY DERAMUS P.A.-C
NPI 1073598645
Physician Assistant in Athens, GA

Active since December 07, 2005
55 CARLTON ST, ATHENS, GA 30602(706) 542-8609 Get Directions Write a Review

NPPES record last updated: January 16, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Leonard Davey Deramus P.a.-c NPPES

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

MR. LEONARD DAVEY DERAMUS P.A.-C (NPI 1073598645) is an individual physician assistant in Athens, Georgia, licensed in Georgia (001541) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1073598645
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. LEONARD DAVEY DERAMUSCredential: P.A.-C
Location Address55 CARLTON STAthens, GA 30602-1503
Mailing Address55 Carlton StAthens, GA 30602-1503 · (706) 542-8609
Sole ProprietorNo
Enumeration DateDecember 7, 2005
Last NPPES UpdateJanuary 16, 2013
NPI 1073598645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 001541
Definition
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.
55 CARLTON ST, Athens, GA 30602

Other Identifiers 2

Medicare ID-Type Unspecified97BBCBRGA
Medicaid000261093BGA

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.

Physical Therapist
55 CARLTON ST
ATHENS, GA 30602
Family Medicine
55 CARLTON ST
ATHENS, GA 30602
Family Medicine
55 CARLTON ST
ATHENS, GA 30602
Internal Medicine
55 CARLTON ST
ATHENS, GA 30602
Psychologist
55 CARLTON ST
ATHENS, GA 30602
Psychologist
55 CARLTON ST
ATHENS, GA 30602
Obstetrics & Gynecology
55 CARLTON ST
ATHENS, GA 30602
Psychiatry & Neurology (Psychiatry)
55 CARLTON ST
ATHENS, GA 30602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leonard Deramus's NPI number?

The NPI number for Leonard Deramus is 1073598645. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Leonard Deramus located?

Leonard Deramus practices at 55 Carlton St, Athens, GA 30602. The listed phone number is (706) 542-8609.

What is Leonard Deramus's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Leonard Deramus was last updated on January 16, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.