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

Todd Wesley Deavens, MD

Individual provider Family Medicine Physician · NPI 1467749176

Todd Wesley Deavens, MD is a Family Practice in Atlanta, Georgia. Qualified in 2010, 16 years ago. Practices with Pmr Georgia Holding LLC, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
16
Licensed in
GA
In the registry since
2011
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

1325 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1649
Phone: (404) 836-0136
Fax: (404) 850-8695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 777 Hemlock St, Macon, GA 31201-2102 — (478) 633-5500

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 71189 (GA)

Record details

NPI number1467749176
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2011
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023
Mailing address1325 Ralph David Abernathy Blvd Sw, Atlanta, GA 30310-1649

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Pmr Georgia Holding Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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