DEERNIS CARE LLC
NPI 1104629955
Nurse Practitioner - Family in Franklin, NC

Active since March 28, 2025
87 FROGTOWN LN, FRANKLIN, NC 28734(828) 333-4525 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Deernis Care Llc NPPES

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

DEERNIS CARE LLC (NPI 1104629955) is a healthcare organization registered as a family in Franklin, North Carolina and active in the NPI registry since March 2025. The organization lists Henry Braham Edwards, President, as its authorized official.

NPPES Registry Identity

NPI1104629955
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDEERNIS CARE LLC
Location Address87 FROGTOWN LNFranklin, NC 28734-2094
Mailing Address87 Frogtown LnFranklin, NC 28734-2094 · (828) 333-4525
Organization SubpartNo
Authorized OfficialHenry Braham EdwardsPresident · (828) 333-4525
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1104629955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
87 FROGTOWN LN, Franklin, NC 28734

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deernis Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Deernis Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1497493944
87 FROGTOWN LN # 118
Franklin, NC 28734
(828) 333-4525
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Deernis Care LLC's NPI number?

The NPI number for Deernis Care LLC is 1104629955. It was assigned to this organization in the NPPES registry on March 28, 2025.

Where is Deernis Care LLC located?

Deernis Care LLC is located at 87 Frogtown Ln, Franklin, NC 28734. The listed phone number is (828) 333-4525.

What is Deernis Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Deernis Care LLC enrolled in Medicare?

Yes. Deernis Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deernis Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Deernis Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Deernis Care LLC was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.