Jimal Romane Deas, is a
Preventive Medicine - Sports Medicine physician based in Smyrna, Georgia. Jimal Romane Deas is licensed to practice in Georgia (license number MT009726) and his current practice location is 3075 Jonquil Dr Se, Smyrna, Georgia. He can be reached at his office (for appointments etc.) via phone at
(803) 720-9353.
NPI number for Jimal Romane Deas is 1306615141 and his current mailing address is 808 Summit Forest Dr, Marietta, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306615141.
Physician's Profile
| Full Name | Jimal Romane Deas |
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| Gender | Male |
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| Speciality | Preventive Medicine - Sports Medicine |
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| Location | 3075 Jonquil Dr Se, Smyrna, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306615141
- Provider Enumeration Date: 12/21/2023
- Last Update Date: 12/21/2023
Medical Identifiers
Medical identifiers for Jimal Romane Deas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306615141 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083S0010X | Preventive Medicine - Sports Medicine | MAS.6263 (South Carolina) | Secondary |
| 2083S0010X | Preventive Medicine - Sports Medicine | MT009726 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jimal Romane Deas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jimal Romane Deas,
808 Summit Forest Dr,
Marietta, GA 30068-6071
Ph: (803) 316-8655 | Jimal Romane Deas,
3075 Jonquil Dr Se,
Smyrna, GA 30080-3719
Ph: (803) 720-9353 |
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