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TAHEISHA RENA DEESE NP
NPI 1205516754
Nurse Practitioner in Fayetteville, GA

Active since July 20, 2023PECOS EnrolledAccepts Medicare Assignment
1265 HIGHWAY 54 W STE 305, FAYETTEVILLE, GA 30214(770) 719-5660 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 17, 2025, Jul 20, 2023 (2 updates tracked since 2023).

About Taheisha Rena Deese Np NPPES

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

TAHEISHA RENA DEESE NP (NPI 1205516754) is an individual nurse practitioner in Fayetteville, Georgia, licensed in Georgia (RN165350) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1205516754
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTAHEISHA RENA DEESECredential: NP
Location Address1265 HIGHWAY 54 W STE 305Fayetteville, GA 30214-4537
Mailing Address155 Buckeye LnFayetteville, GA 30214-1702 · (229) 425-8130
Phone(770) 719-5660
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 20, 2023
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1205516754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN165350
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedSurgeryTaxonomy 208600000X · License RN165350 (GA)
1265 HIGHWAY 54 W STE 305, Fayetteville, GA 30214
Open in Google Maps ↗

Secondary Practice Location 1

Location 1155 Buckeye LnFayetteville, GA 30214-1702 · Phone (229) 425-8130

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Taheisha Rena Deese Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840729778
PECOS Enrollment IDI20250122002514
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.

Medicare Billing Reassignment

Medicare enrollment records show Taheisha Deese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Piedmont Providers LLC
71 mi
Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 clinicians in this Medicare group
NPI 1548273592 (770) 801-2500

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

MRS. LAMEKA NICOLE PATTERSON-BENTJEN CNP
Nurse Practitioner
1265 HIGHWAY 54 W STE 305
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5660
BERESHITH NOAH ADAMS NP
Nurse Practitioner
1265 HIGHWAY 54 W STE 305
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5660
DADRIE FREDA BAPTISTE MD
Colon & Rectal Surgery
1265 HIGHWAY 54 W STE 305
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5660
MRS. MONIKA HILL NP
Nurse Practitioner
1265 HIGHWAY 54 W STE 305
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5660

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 Taheisha Deese's NPI number?

The NPI number for Taheisha Deese is 1205516754. It was assigned to this individual provider in the NPPES registry on July 20, 2023.

Where is Taheisha Deese located?

Taheisha Deese practices at 1265 Highway 54 W Ste 305, Fayetteville, GA 30214. The listed phone number is (770) 719-5660.

What is Taheisha Deese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Taheisha Deese enrolled in Medicare?

Yes. Taheisha Deese is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Taheisha Deese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taheisha Deese reassigns Medicare benefits to Piedmont Providers LLC (Jasper, GA). The 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 Taheisha Deese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Taheisha Deese affiliated with any hospitals?

According to CMS data, Taheisha Deese is affiliated with Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Taheisha Deese was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.