Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Leonard Davey Deramus, PA-C

Individual provider Physician Assistant · NPI 1073598645

Mr. Leonard Davey Deramus, PA-C is a Physician Assistant in Athens, Georgia. Licensed in Georgia. Registered with an NPI since 2005.

Licensed in
GA
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

55 Carlton St
Athens, GA 30602-1503
Phone: (706) 542-8609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001541 (GA)

Record details

NPI number1073598645
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 7, 2005
Last updated in NPPESJanuary 16, 2013

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