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

Mickey James Deavers, DMSC, MPAS, PA-C

Individual provider Physician Assistant · NPI 1265402739

Mickey James Deavers, DMSC, MPAS, PA-C is a Physician Assistant in Camp Lejeune, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

100 Brewster Blvd
Camp Lejeune, NC 28547-2538
Phone: (910) 450-4831
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-01845 (NC)

Record details

NPI number1265402739
Entity typeIndividual (Type 1)
GenderMale
Credentials DMSC , MPAS , PA-C
Sole proprietorNo
NPI enumeratedJanuary 25, 2006
Last updated in NPPESMay 12, 2022
Certification dateApril 27, 2022

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