DEREK AUSTIN DUBOIS (NPI# 1023565199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023565199 |
| Entity Type | Individual |
| Full Name | DEREK AUSTIN DUBOIS |
| Credential | NP |
| Practice Address |
300 Tower Rd Ne Suite 200 Marietta GA 30060-9404 |
| Practice Telephone | 7704275717 |
| Practice Fax Number | 7705145040 |
| Mailing Telephone | 7704275717 |
| Mailing Fax Number | 7705145040 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN217341 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 TOWER RD NE SUITE 200 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-9404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566527 | Stanley H Dysart | Orthopaedic Surgery | 300 Tower Rd Ne, Ste 200, Marietta, GA 30060-9403 | 2005-05-23 |
| 1023559135 | Adam Colon | Specialist/Technologist | 300 Tower Rd Ne, 200, Marietta, GA 30060-9404 | 2017-03-09 |
| 1003367707 | Pinnacle Orthopaedics & Sports Medicine Specialists LLC | Specialist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2016-10-18 |
| 1861841264 | Kadesha Massaud | Nurse Practitioner | 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 | 2016-06-07 |
| 1164888582 | Julianna Hartzel | Physical Therapist | 300 Tower Rd Ne, Suite100, Marietta, GA 30060-9404 | 2016-01-14 |
| 1730577172 | Pinnacle Orthopaedics | Specialist | 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 | 2015-01-08 |
| 1902213853 | Jeremy Daniel Melton | Physician Assistant | 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 | 2014-07-11 |
| 1235540659 | Aaron T. Richardson | Physical Therapist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2014-05-20 |
| 1629395140 | Michelle Ann Ray | Physician Assistant | 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 | 2010-04-23 |
| 1609038207 | Nicolas Simon Bonnaig | Orthopaedic Surgery | 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 | 2008-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576931 | Dzintra Leblanc | Nurse Practitioner | 2583 Ballew Ct Ne, Marietta, GA 30062-4424 | 2020-10-19 |
| 1730786047 | Monique An-jel Rosser | Nurse Practitioner | 687 Johnson Ferry Rd # 7044, Marietta, GA 30068-4628 | 2020-10-08 |
| 1518564418 | Althea Bryan | Nurse Practitioner | 198 Rotherhithe Ln Nw, Marietta, GA 30066-3491 | 2020-10-04 |
| 1013523646 | Susan Wanjiku Kamau | Nurse Practitioner | 1579 Sage Ridge Dr, Marietta, GA 30064-5327 | 2020-09-18 |
| 1982217402 | Lisa Abbott | Nurse Practitioner | 580 Kurtz Rd, Marietta, GA 30066-5348 | 2020-08-25 |
| 1538796008 | Chinwe Christiana O'hara | Nurse Practitioner | 3079 Hidden Forest Ct Unit 3650, Marietta, GA 30066-3137 | 2020-03-25 |
| 1376197335 | Nicole I Crawford | Nurse Practitioner | 868 Cedar Rd, Marietta, SC 29661-9006 | 2019-07-29 |
| 1689138935 | Mobile Np, LLC | Nurse Practitioner | 1120 Heather Wood Ct, Marietta, GA 30062-2926 | 2019-01-30 |
| 1790258531 | Leslie Burns | Nurse Practitioner | 2910 Burnt Hickory Rd Nw, Marietta, GA 30064-1238 | 2019-01-04 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on DEREK AUSTIN DUBOIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.