Lawrence Deardurff, PA
NPI 1063817328 · Physician Assistant · Marietta, GA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lawrence Deardurff, PA is a Physician Assistant provider in Marietta, GA (NPI 1063817328).
Provider details
- NPI number
- 1063817328
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 5665 New Northside DrSte. 320Atlanta, GA 30328-5831Phone: (678) 946-1431Fax: (404) 645-7569
Registry dates
- Enumerated
- 2014-10-29
- Last updated
- 2023-09-06
- Certified
- 2023-09-06
Frequently asked questions
- What is Lawrence Deardurff's NPI number?
- Lawrence Deardurff's National Provider Identifier (NPI) is 1063817328, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lawrence Deardurff's specialty?
- Lawrence Deardurff is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lawrence Deardurff located?
- Lawrence Deardurff's practice location on file with NPPES is 677 Church St Ne, Marietta, GA 30060-1101.
- What is Lawrence Deardurff's phone number?
- The practice phone number listed in the NPPES registry for Lawrence Deardurff is (770) 793-7750.
- Does Lawrence Deardurff accept Medicare?
- Lawrence Deardurff is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lawrence Deardurff's NPI active?
- Yes — Lawrence Deardurff's NPI (1063817328) is active in the NPPES registry as of the last update on 2023-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.