Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194960955 Individual Practitioner Female Practitioner

Deanna Marie Lipscomb , PA-C

Physician Assistant • Latham, NY

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Deanna Lipscomb, PA-C is a registered healthcare professional specializing in Physician Assistant in Latham, NY. Official NPI practice address is registered at 1 PEPSI COLA DR.

Practice Location & Contact Primary Location

Practice Address

1 Pepsi Cola Dr
Jhu Health And Wellness Center

Latham, NY 121102306

Telephone 5187822479

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Latham, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
44 Specialists

Practicing in Latham, NY (15701 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 012912

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
03524747 (NY)

Secondary Practice Locations

1 River Rd Bldg 43-2

Schenectady, NY 123456000

Phone: 5183857011

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address March 24, 2026

Registered at 1 PEPSI COLA DR, LATHAM, NY 121102306 (Tel: 5187822479)

👤
Provider Name / Credentials Updated March 24, 2026

Recorded as DEANNA LIPSCOMB, PA-C

NPI Profile Active July 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2016

Registered at 1 PEPSI COLA DR, JHU HEALTH AND WELLNESS CENTER, LATHAM, NY 121102306 (Tel: 5187822479)

📍
Updated Business Mailing Address July 12, 2016

Registered at 1 PEPSI COLA DR, JHU HEALTH AND WELLNESS CENTER, LATHAM, NY 121102306 (Tel: 5187822479)

👤
Provider Name / Credentials Updated July 12, 2016

Recorded as DEANNA LIPSCOMB, RPA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2016

Physician Assistant (License #012912 in NY)

🟢
Initial NPI Registration & Enumeration December 09, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194960955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2008
Last Update: March 24, 2026
Sole Proprietor: No

Mailing Address

1 Pepsi Cola Dr

Latham, NY 121102306

Phone: 5187822479

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.