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DR. DALE SHELTON DEAS JR. MD
NPI 1114422755
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since March 26, 2018PECOS Enrolled
1365 CLIFTON RD NE BLDG A, ATLANTA, GA 30322(404) 778-5039 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dale Shelton Deas Jr. Md NPPES

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

DR. DALE SHELTON DEAS JR. MD (NPI 1114422755) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114422755
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DALE SHELTON DEAS JR.Credential: MD
Location Address1365 CLIFTON RD NE BLDG AAtlanta, GA 30322-1013
Mailing Address308 Old Mill LnHoover, AL 35244-3506 · (251) 635-2279
Phone(404) 778-5039
Sole ProprietorYes
Enumeration DateMarch 26, 2018
✔ NPI 1114422755 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.
1365 CLIFTON RD NE BLDG A, Atlanta, GA 30322
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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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dale Shelton Deas Jr. Md 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.

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.

TONYA HERSHMAN PHARMD
Pharmacist (Pharmacotherapy)
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dekalb County (470) 895-5120
JOHN J DORAN M.D.
Internal Medicine (Nephrology)
1365 CLIFTON RD NE BLDG A, THE EMORY CLINIC - NEPHROLOGY
ATLANTA, GA 30322
Dekalb County (404) 778-5380
MRS. JULIE MCINNIS SPANKOWSKI RN, MSN, ANCP-C
Nurse Practitioner (Acute Care)
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dekalb County (404) 778-3712
CLAUDIA R UTESCH CDCES, RDN/LD
Dietitian, Registered
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dekalb County (678) 365-9856
EMILY K JAMES MD
Internal Medicine (Hospice and Palliative Medicine)
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dekalb County (850) 218-9418
EILEEN MAHONEY RDN
Dietitian, Registered
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dekalb County (803) 565-0649
JEFFREY R PINE M.D.
Internal Medicine (Pulmonary Disease)
1365 CLIFTON RD NE BLDG A, THE EMORY CLINIC - PULMONARY
ATLANTA, GA 30322
Dekalb County (404) 778-3261
ANNE LIPS
Internal Medicine (Hospice and Palliative Medicine)
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dekalb County (404) 778-6448

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 Dale Deas's NPI number?

The NPI number for Dale Deas is 1114422755. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Dale Deas located?

Dale Deas practices at 1365 Clifton Rd NE Bldg A, Atlanta, GA 30322. The listed phone number is (404) 778-5039.

What is Dale Deas's specialty?

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

Is Dale Deas enrolled in Medicare?

Yes. Dale Deas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dale Deas was last updated on March 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.