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Active NPI 1831779578 Individual Practitioner Male Practitioner

Jonathan David Derryberry , CAA

Anesthesiologist Assistant • Rome, GA

Professional Overview & Biography Verified Profile Summary

Jonathan Derryberry, CAA is a certified Anesthesiologist Assistant practicing in Rome, GA. With approximately 4 years of clinical experience since graduating from Emory University School Of Medicine in 2022, Jonathan Derryberry delivers high-quality medical care to the local community at 304 TURNER MCCALL BLVD SW.

Jonathan Derryberry is affiliated with Mak Anesthesia Georgia, Llc and does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

304 Turner Mccall Blvd Sw

Rome, GA 301655621

Telephone 4047275910
Associated Practice Facility / Clinic
🏢 24 On Physicians, P.c. Facility NPI 1912956251

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

2022

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Rome, GA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -7.5 yrs vs City Avg
City Avg: 11.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
23 Specialists

Practicing in Rome, GA (1558 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Derryberry (4 Years) 4 Yrs
Rome Specialty Average (11.5 Years) 11.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-12-15
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Hospital & Practice Group Affiliations

Mak Anesthesia Georgia, Llc

2306 Wisteria Dr, Snellville, GA 300783561

Phone: 7709798200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Patricia Chan

Student in an Organized Health Care Education/Training Program

NPI 1003586298
Rebecca Shamah

Student in an Organized Health Care Education/Training Program

NPI 1073267589
Caroline Szczecinski , AA-C

Anesthesiologist Assistant

NPI 1134889785

AAC

Megan Childs , CAA

Anesthesiologist Assistant

NPI 1154097764
Elizabeth Kelly

Student in an Organized Health Care Education/Training Program

NPI 1225618598
Matthew Caropreso

Student in an Organized Health Care Education/Training Program

NPI 1225956469

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location December 15, 2022

Registered at 304 TURNER MCCALL BLVD SW, ROME, GA 301655621 (Tel: 4047275910)

📍
Updated Business Mailing Address December 15, 2022

Registered at 304 TURNER MCCALL BLVD SW, ROME, GA 301655621

👤
Provider Name / Credentials Updated December 15, 2022

Recorded as JONATHAN DERRYBERRY, CAA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2022

Anesthesiologist Assistant

NPI Profile Active April 08, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2021

Registered at 57 EXECUTIVE PARK S STE 300, ATLANTA, GA 303292287 (Tel: 4047275910)

📍
Updated Business Mailing Address April 08, 2021

Registered at 57 EXECUTIVE PARK S STE 300, ATLANTA, GA 303292287

👤
Provider Name / Credentials Updated April 08, 2021

Recorded as JONATHAN DERRYBERRY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 08, 2021

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: 1831779578
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2021
Last Update: December 15, 2022
Sole Proprietor: No

Mailing Address

304 Turner Mccall Blvd Sw

Rome, GA 301655621

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.