TODD WESLEY DEAVENS (M.D.) – Family Medicine Physician, NPI 1467749176

TODD WESLEY DEAVENS (M.D.) is a healthcare provider. based in Conyers, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 71189 (GA). The NPI Number for TODD WESLEY DEAVENS (M.D.) is 1467749176

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
TODD WESLEY DEAVENS (M.D.)
NPI
1467749176
Phone
(678) 374-7514
Address
1101 NOR TEC DRIVE
Enumeration Date
1 July 2011
Last Update Date
15 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4048360136
Graduation Year
2010 (16 years ago)
PAC ID
8426206392
Group Practice PAC ID
8426466590
Professional Enrollment ID
I20150410001017
Address ID
GA303101649AT1325XSWXX600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,103 FAMILY PRACTICE in GA

Provider Addresses for TODD WESLEY DEAVENS (M.D.)

  • 1101 NOR TEC DRIVE

    CONYERS, GA 300135832

    Phone: (678) 374-7514

    Fax: (678) 374-7517

    Type: Mailing

  • 777 Hemlock St

    Macon, GA 312012102

    Phone: (478) 633-5500

    Fax: (478) 784-5496

    Type: Location

  • 1325 RALPH DAVID ABERNATHY BLVD SW

    ATLANTA, GA 303101649

    Phone: (404) 836-0136

    Fax: (404) 850-8695

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $843.

Total Amount is formed as General ($843) + Research ($0) + Ownership ($0) = $843.

Last reported payment date: 2023-09-14 • Largest payer in this snapshot: Novo Nordisk Inc ($153).

Total Amount

$843

General + Research + Ownership

Payments

42

Total payment records

General Amount

$843

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-04-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150410001017IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg15514$0
99213Established patient office or other outpatient visit, 20-29 minutes149103$0
99214Established patient office or other outpatient visit, 30-39 minutes11374$0
80053Blood test, comprehensive group of blood chemicals8363$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month6618$0
View full utilization report →

Insurance plans in this area (ZIP 30013)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426466590View full group profile
NameSpecialtyState
Internal MedicineGA
Internal MedicineNY
Family PracticeGA
Family PracticeGA
Internal MedicineAL
Internal MedicineOH
Internal Medicine, Geriatric MedicineGA
Internal MedicineGA
Family PracticeTN
Internal MedicineFL

Reviews

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Frequently asked questions

Does TODD WESLEY DEAVENS (M.D.) have a public NPI I can cite?
Public records show TODD WESLEY DEAVENS (M.D.) under NPI 1467749176.
Does the public listing show TODD WESLEY DEAVENS (M.D.) as active?
TODD WESLEY DEAVENS (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret TODD WESLEY DEAVENS (M.D.)'s specialty?
The extract shows Family Medicine Physician for TODD WESLEY DEAVENS (M.D.). Clinical services aligned with this taxonomy classification.
Is TODD WESLEY DEAVENS (M.D.) tied to Conyers, Georgia?
If you are local to Conyers, Georgia, TODD WESLEY DEAVENS (M.D.) may be relevant to your search.
Why is information missing for TODD WESLEY DEAVENS (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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