Jonathan Derryberry, CAA
NPI 1831779578 · Anesthesiologist Assistant · Rome, GA
Enrolled with Medicare as Practitioner - Anesthesiology Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jonathan Derryberry, CAA is a Anesthesiologist Assistant provider in Rome, GA (NPI 1831779578).
Provider details
- NPI number
- 1831779578
- Entity type
- Individual
- Primary specialty
- Anesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CAA
- Sex
- Male
- Sole proprietor
- No
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
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2021-04-08
- Last updated
- 2022-12-15
- Certified
- 2022-12-15
Frequently asked questions
- What is Jonathan Derryberry's NPI number?
- Jonathan Derryberry's National Provider Identifier (NPI) is 1831779578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Derryberry's specialty?
- Jonathan Derryberry is listed in the NPPES registry with a primary specialty of Anesthesiologist Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jonathan Derryberry located?
- Jonathan Derryberry's practice location on file with NPPES is 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621.
- What is Jonathan Derryberry's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Derryberry is (404) 727-5910.
- Does Jonathan Derryberry accept Medicare?
- Jonathan Derryberry is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jonathan Derryberry's NPI active?
- Yes — Jonathan Derryberry's NPI (1831779578) is active in the NPPES registry as of the last update on 2022-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.