John Dercola, PA

ActiveIndividual ProviderSpecialty not listed
NPI issued: June 16, 2005

Quick Facts

NPI Number
1417952433
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy363AM0700X — Specialty not listed
Phone
(770) 424-6893
StateGA

NPI Validation Status: Verified

Valid 10-digit NPI number (1417952433)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 16, 2005)
Data source: CMS NPPES

Provider Overview

JOHN DERCOLA, PA is a Healthcare provider based in Marietta, GA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1417952433
Provider TypeIndividual Provider
GenderMale
CredentialPA
StatusActive
Enumeration DateJune 16, 2005

Practice Location

CityMarietta
StateGA
ZIP Code30060-1155
Phone(770) 424-6893

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code363AM0700X
License StateGA

Mailing Address

CityMarietta
StateGA
ZIP Code30060-1155
Phone(770) 424-6893
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1417952433 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1417952433for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1417952433 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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41,933
Specialty not listed Providers in the US

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People Also Ask

What is John Dercola's NPI number?
John Dercola's NPI number is 1417952433, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is John Dercola's NPI currently active?
Yes, John Dercola's NPI status is Active as of the latest CMS NPPES database updates.
What does John Dercola specialize in?
John Dercola specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 363AM0700X.
Where does John Dercola practice?
John Dercola practices in Marietta, GA 30060-1155.
When was John Dercola's NPI issued?
John Dercola's NPI was issued on June 16, 2005.
What is John Dercola's provider type?
John Dercola is registered as an Individual Provider under CMS NPI Type 1.