Cole Houston Deaver, PA-C

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Salisbury, NC

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

• 2849 Holly Glen Dr Apt G, Greenville, NC 27834-8855 — (704) 962-7218
• 105 Hanes Square Cir, Winston Salem, NC 27103-5514 — (336) 441-5569

Specialties & licences

Physician Assistant (primary)	Taxonomy 363A00000X · Licence 0010-12913 (NC)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1205567245
Entity type	Individual (Type 1)
Gender	Male
Credentials	PA-C
Sole proprietor	Yes
NPI enumerated	June 21, 2022
Last updated in NPPES	July 10, 2024
Certification date	July 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	PHYSICIAN ASSISTANT
Medical school	OTHER
Graduated	2022 (4 years in practice)
Group practice	Carolina Medicorp Enterprises Llc — 185 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	4 on file with Medicare