P Praxis·MD
● Active Type 1 · Individual

Pamela Deramus Heard

Clinic/Center·College Park, GA· NPI 1376962670 · Enumerated 2014 · 12 years on NPI
Deramus Heard is 1 of 1 clinic/center providers in College Park and 1 of 205 in Georgia.
NPI age
12 years
Enumerated 2014-04-15
Primary specialty
Clinic/Center
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-04-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 205 active clinic/center providers in Georgia.

NPI age
12 years
↑ 4 yr above median (8 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-04Enumerated in NPPES
2014 2026

Where they practice

Practice location
5380 Somerlane Trl
College Park, GA 303492040
📞 6783627862
Mailing address
5380 Somerlane Trl
College Park, GA 303492040
📞 6783627862

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #2014 NONPS-0077 taxonomy 261QA0600X

Identifiers

TypeValueNotes
01 (GA) 189317268A MEDICARE PROVIDER ID

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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