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

Kenneth D Deaton Jr., MD

Individual provider Specialist · NPI 1124062187

Kenneth D Deaton Jr., MD is a Specialist in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

800 1st St Ste 410
Macon, GA 31201-8300
Phone: (478) 743-7068
Fax: (478) 741-1354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 31585 (GA)

Record details

NPI number1124062187
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESDecember 22, 2014
Mailing address800 1st St, Suite 410, Macon, GA 31201-8300

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