Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deidra Demoss

Individual provider Athletic Trainer · NPI 1487111894

Deidra Demoss is a Physician Assistant in Morgantown, West Virginia. Qualified in 2023, 3 years ago. Practices with West Virginia University Medical Corporation, a 1,981-clinician group and accepts Medicare assignment. Licensed in North Carolina and West Virginia.

Years since qualifying
3
Licensed in
NC, WV
In the registry since
2019
Specialties on file
3

Practice location Address checks out

6040 University Town Centre Dr
Morgantown, WV 26501-2421
Phone: (855) 988-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2765 (WV)
Athletic Trainer Taxonomy 2255A2300X · Licence LAT-3856 (NC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1487111894
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 22, 2019
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024
Mailing address2201 Whisper Creek Dr, Morgantown, WV 26508-1643

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice West Virginia University Medical Corporation — 1981 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Morgantown