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KENNETH D DEATON JR. M.D.
NPI 1124062187
Specialist in Macon, GA

Active since June 16, 2006
800 1ST ST, SUITE 410, MACON, GA 31201(478) 743-7068(478) 741-1354 Get Directions Write a Review

NPPES record last updated: December 22, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth D Deaton Jr. M.d. NPPES

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

KENNETH D DEATON JR. M.D. (NPI 1124062187) is an individual specialist in Macon, Georgia, licensed in Georgia (31585) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1124062187
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameKENNETH D DEATON JR.Credential: M.D.
Location Address800 1ST ST, SUITE 410Macon, GA 31201-8300
Mailing Address800 1st St, Suite 410Macon, GA 31201-8300 · (478) 743-7068 · Fax (478) 741-1354
Phone(478) 743-7068
Fax(478) 741-1354
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateDecember 22, 2014
✔ NPI 1124062187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 31585
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

800 1ST ST, Macon, GA 31201
Open in Google Maps ↗

Other Identifiers 3

Medicaid000385019EGA
Medicare UPINE19943GA
Medicare NSC5125010001GA

Other Providers at the Same Location NPPES 11

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

DIGITRACE CARE SERVICES INC
Durable Medical Equipment & Medical Supplies
800 1ST ST
MACON, GA 31201
Bibb County (800) 846-2973
LINDA K HENDRICKS M.D.
Specialist
800 1ST ST, SUITE 410
MACON, GA 31201
Bibb County (478) 743-7068
FREDERICK M SCHNELL M.D.
Specialist
800 1ST ST, SUITE 410
MACON, GA 31201
Bibb County (478) 743-7068
BRUCE T BURNS M.D.
Specialist
800 1ST ST, SUITE 410
MACON, GA 31201
Bibb County (478) 743-7068
DR. ZACHARY DAVID LOPATER MD
Radiology (Radiation Oncology)
800 1ST ST, SUITE 110
MACON, GA 31201
Bibb County (478) 743-3466
CENTRAL GEORGIA RADIATION ONCOLOGY CENTER
Radiology (Radiation Oncology)
800 1ST ST, SUITE 110
MACON, GA 31201
Bibb County (478) 743-3466
DR. ABEER NITHAM ABOUYABIS
Internal Medicine (Hematology & Oncology)
800 1ST ST, SUITE 410
MACON, GA 31201
Bibb County (478) 743-7068
DOUGLAS ALAN BREWER MD
Colon & Rectal Surgery
800 1ST ST
MACON, GA 31201
Bibb County (478) 633-6900

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 Kenneth Deaton's NPI number?

The NPI number for Kenneth Deaton is 1124062187. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Kenneth Deaton located?

Kenneth Deaton practices at 800 1st St Suite 410, Macon, GA 31201. The listed phone number is (478) 743-7068.

What is Kenneth Deaton's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kenneth Deaton was last updated on December 22, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.