DEIDRA MIESHA PRINTUP FNP-C
NPI 1629843446
Nurse Practitioner - Family in Fayetteville, GA

Active since November 21, 2023
1267 HIGHWAY 54 W STE 3200, FAYETTEVILLE, GA 30214(770) 632-9900 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2025, Nov 21, 2023 (2 updates tracked since 2023).

About Deidra Miesha Printup Fnp-c NPPES

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

DEIDRA MIESHA PRINTUP FNP-C (NPI 1629843446) is an individual family provider in Fayetteville, Georgia, licensed in Georgia (RN223974) and active in the NPI registry since November 2023. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1629843446
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEIDRA MIESHA PRINTUPCredential: FNP-C
Location Address1267 HIGHWAY 54 W STE 3200Fayetteville, GA 30214-2111
Mailing Address1948 Old Ocilla RdTifton, GA 31794-1644 · (229) 391-3500
Sole ProprietorNo
Enumeration DateNovember 21, 2023
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1629843446 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
License Licensed in GA · RN223974
1267 HIGHWAY 54 W STE 3200, Fayetteville, GA 30214

Secondary Practice Locations 3

Location 11707 Watson Blvd # 301Warner Robins, GA 31093-3606 · Phone (229) 391-3500
Location 2403 Westpark Ct Ste 205Peachtree City, GA 30269-1426 · Phone (770) 632-9900
Location 310600 Lochridge BlvdCovington, GA 30014-4411 · Phone (229) 391-3500

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Obstetrics & Gynecology
1267 HIGHWAY 54 W STE 3200
FAYETTEVILLE, GA 30214
Obstetrics & Gynecology
1267 HIGHWAY 54 W STE 3200
FAYETTEVILLE, GA 30214

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 Deidra Printup's NPI number?

The NPI number for Deidra Printup is 1629843446. It was assigned to this individual provider in the NPPES registry on November 21, 2023.

Where is Deidra Printup located?

Deidra Printup practices at 1267 Highway 54 W Ste 3200, Fayetteville, GA 30214. The listed phone number is (770) 632-9900.

What is Deidra Printup's specialty?

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

What insurance does Deidra Printup accept?

Health plans from Alliant Health Plans, Inc. list Deidra Printup as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deidra Printup was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.