Derek Dubois (NPI# 1023565199, PAC ID# 0648568402) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023565199 |
| PAC ID by PECOS | 0648568402 |
| Professional Enrollment ID | I20161011000773 |
| Full Name | Derek Dubois |
| Organization Legal Name | ADVANCED JOINT SURGERY SPECIALISTS, LLC |
| Address |
3400 C Old Milton Pkwy Suite 290 Alpharetta GA 30005-4438 |
| Phone Number | 7706674343 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961795190 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3400 C Old Milton Pkwy, Suite 290, Alpharetta, GA 30005-4438 | 7706674343 | ADVANCED JOINT SURGERY SPECIALISTS, LLC |
| 960 Woodstock Pkwy, Suite 200, Woodstock, GA 30188-4867 | 7702926500 | ADVANCED JOINT SURGERY SPECIALISTS, LLC |
| Organization Legal Name | ADVANCED JOINT SURGERY SPECIALISTS, LLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Wood | Orthopedic Surgery | Advanced Joint Surgery Specialists, LLC | 1255 Friendship Rd, Suite 200, Braselton, GA 30517-5619 |
| Alexander J Heckman | Physician Assistant | Advanced Joint Surgery Specialists, LLC | 3400 C Old Milton Pkwy, Suite 290, Alpharetta, GA 30005-4438 |
| Kenneth J Kress | Orthopedic Surgery | Advanced Joint Surgery Specialists, LLC | 3400 C Old Milton Pkwy, Suite 290, Alpharetta, GA 30005-4438 |
| Jon Eric Stubblefield | Physician Assistant | Advanced Joint Surgery Specialists, LLC | 3400 C Old Milton Pkwy, Suite 290, Alpharetta, GA 30005-4438 |
| Joshua D Shea | Physician Assistant | Advanced Joint Surgery Specialists, LLC | 3400 C Old Milton Pkwy, Suite 290, Alpharetta, GA 30005-4438 |
| Kelly Lynch | Nurse Practitioner | Advanced Joint Surgery Specialists, LLC | 3400 C Old Milton Pkwy, Suite 290, Alpharetta, GA 30005-4438 |
| Jeffrey P Garrett | Orthopedic Surgery | Advanced Joint Surgery Specialists, LLC | 3400 C Old Milton Pkwy, Suite 290, Alpharetta, GA 30005-4438 |
| Donald C Beringer | Orthopedic Surgery | Advanced Joint Surgery Specialists, LLC | 3400 C Old Milton Pkwy, Suite 290, Alpharetta, GA 30005-4438 |
| Charles Adam Decook | Orthopedic Surgery | Advanced Joint Surgery Specialists, LLC | 3400 C Old Milton Pkwy, Suite 290, Alpharetta, GA 30005-4438 |
| Tiffany A Gibbert | Physician Assistant | Advanced Joint Surgery Specialists, LLC | 3400 C Old Milton Pkwy, Suite 290, Alpharetta, GA 30005-4438 |
| Street Address |
3400 C OLD MILTON PKWY SUITE 290 |
| City | ALPHARETTA |
| State | GA |
| Zip | 30005-4438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy J Figueroa | Diagnostic Radiology | Northside Radiology Associates PC | 3400 C Old Milton Pkwy, Suite 145, Alpharetta, GA 30005-3707 |
| Alexander J Heckman | Physician Assistant | Advanced Joint Surgery Specialists, LLC | 3400 C Old Milton Pkwy, Suite 290, Alpharetta, GA 30005-4438 |
| Travis J Langley | Diagnostic Radiology | Northside Radiology Associates PC | 3400 C Old Milton Pkwy, Suite 145, Alpharetta, GA 30005-3707 |
| Steven G Moss | Diagnostic Radiology | Northside Radiology Associates PC | 3400 C Old Milton Pkwy, Suite 145, Alpharetta, GA 30005-3707 |
| George A Kallianos | Diagnostic Radiology | Northside Radiology Associates PC | 3400 C Old Milton Pkwy, Suite 145, Alpharetta, GA 30005-3707 |
| Praveen Reddy | Diagnostic Radiology | Northside Radiology Associates PC | 3400 C Old Milton Pkwy, Suite 145, Alpharetta, GA 30005-3707 |
| Brian D Sydow | Diagnostic Radiology | Northside Radiology Associates PC | 3400 C Old Milton Pkwy, Suite 145, Alpharetta, GA 30005-3707 |
| Prashant Vijay Shankar | Diagnostic Radiology | Northside Radiology Associates PC | 3400 C Old Milton Pkwy, Suite 145, Alpharetta, GA 30005-3707 |
| Absar Ahmed | Diagnostic Radiology | Northside Radiology Associates PC | 3400 C Old Milton Pkwy, Suite 145, Alpharetta, GA 30005-3707 |
| William C Lavely | Nuclear Medicine | Northside Radiology Associates PC | 3400 C Old Milton Pkwy, Suite 145, Alpharetta, GA 30005-3707 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pauline Elizabeth Mallcott | Qualified Audiologist | Northside Surgical Professional Services LLC | 4150 Deputy Bill Cantrall Memorial Rd, Suite 260, Cumming, GA 30005 |
| Laurie A Walsh | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Beth Ann Rosenberg | Occupational Therapy | N Motion Hand and Physical Therapy, LLC | 3155 Northpoint Pkwy, Bldg D Suite 100, Alpharetta, GA 30005 |
| Vanessa Kiepura | Internal Medicine | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Robert A Mills | Internal Medicine | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Elizabeth Boyter | Physician Assistant | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Crystal C Sen | Physician Assistant | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Stacey C Cox | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Blair Hoffman | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Julia Anne Bern | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Find all physicians in zip 30005 | |||
| City | ALPHARETTA |
| Zip Code | 30005 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ALPHARETTA + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.