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

Taheisha Rena Deese, NP

Individual provider Surgery Physician · NPI 1205516754

Taheisha Rena Deese, NP is a Nurse Practitioner in Fayetteville, Georgia. Qualified in 2022, 4 years ago. Practices with Piedmont Providers LLC, a 518-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2023
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1265 Highway 54 W Ste 305
Fayetteville, GA 30214-4537
Phone: (770) 719-5660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 155 Buckeye Ln, Fayetteville, GA 30214-1702 — (229) 425-8130
  • 155 Buckeye Ln, Fayetteville, GA 30214-1702 — (229) 425-8130

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN165350 (GA)
Surgery Physician Taxonomy 208600000X · Licence RN165350 (GA)

Record details

NPI number1205516754
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJuly 20, 2023
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Piedmont Providers Llc — 518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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