Deacon Med PA
Deacon Med PA is a healthcare organization registered as Primary Care Clinic/Center in Randleman, NC, holding Type 2 (organization) NPI 1881998748 since 2011. The authorized official on file is Jerome Davis, Medical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1881998748 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Deacon Med PA |
| Other name | <Unavail> |
| Practice address | 702 S MAIN ST, Randleman, NC, 27317 |
| Phone | 3365451515 |
| Fax | 3365454505 |
| Enumeration date | 2011-01-06 |
| Last updated in NPPES | 2011-01-06 |
Authorized official
| Name | Jerome Davis |
|---|---|
| Title | Medical Director |
| Phone | 3365451515 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Primary | — | NC |
Copy-ready billing details
Provider: Deacon Med PA NPI: 1881998748 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 702 S MAIN ST, Randleman, NC, 27317
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1710920335 | Randleman Medical Center LLC | Organization | Primary Care Clinic/Center | Randleman, NC |
| 1093111924 | Melissa Rose | Individual | Family Nurse Practitioner | Randleman, NC |
Verify this record
Cross-check NPI 1881998748 against the authoritative CMS record: view Deacon Med PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Deacon Med PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-01-06.