Individual provider Active NPI

Derek E Marshall, MD

  • Anesthesiology Physician
  • Jackson, MS
National Provider Identifier
1255475943
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
14975 Issued in MS
Practice address
1151 N State St
Suite 311
Jackson, MS 39202
Phone
(601) 969-1171
Fax
(601) 969-1173
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 14975 MS Primary

Addresses

Primary practice location

1151 N State St
Suite 311
Jackson, MS 39202

Mailing address

1151 N State St
Suite 311
Jackson, MS 39202-2407
Phone (601) 969-1171

Other practice location 1

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

Other identifiers 1

IdentifierTypeStateIssuer
0119621MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL, TN, LA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20050118000401 MS Practitioner - Anesthesiology 7810946852 Reassigns benefits to 5 organizations
I20230816001227 AL Practitioner - Anesthesiology 7810946852 Reassigns benefits to 1 organization
I20231214000717 TN Practitioner - Anesthesiology 7810946852 Reassigns benefits to 2 organizations
I20240607000456 LA Practitioner - Anesthesiology 7810946852

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resource Anesthesiology Associates of TN PCGroup PAC ID 8527419092, 145 clinicians

Practice addresses (Care Compare)

103 W Stone Dr
Kingsport, TN 37660-3220
Phone (423) 224-4910

1265 Union Ave
Suite 201
Memphis, TN 38104-3415
Phone (901) 516-7000

4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (662) 932-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14975MSMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Anesthesiology Associates of TN PC Anesthesiology CurrentSince Jun 7, 2024 Accepting new patients
USA Health Anesthesia Billing Services, LLC Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
American Anesthesiology of Tennessee, P.C. Anesthesiology CurrentSince Nov 8, 2023 Accepting new patients
The Capital City Anesthesia Group, LLC Anesthesiology CurrentSince Apr 29, 2024 Accepting new patients
Anesthesia Consultants PA Anesthesiology CurrentSince Apr 1, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince May 15, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Jackson Anesthesia Associates PA Anesthesiology CurrentSince Dec 6, 2004 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince May 15, 2023 Accepting new patients
University Anesthesia Services, PLLC Anesthesiology Past Accepting new patients
Jackson Pain Center PA Past Accepting new patients

Locations

1700 Center St
Mobile, AL 36604
Phone (251) 415-1000

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011

161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000

1053 River Oaks Dr
#C
Flowood, MS 39232
Phone (601) 969-1430

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

1151 N State St
Ste 508
Jackson, MS 39202
Phone (601) 948-8293

1151 N State St
Ste 311
Jackson, MS 39202
Phone (601) 969-1171

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

103 W Stone Dr
Kingsport, TN 37660
Phone (423) 224-4050

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1265 Union Ave
Ste 201
Memphis, TN 38104
Phone (901) 516-7000

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1255475943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 N STATE ST",
            "address_2": "SUITE 311",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022407",
            "telephone_number": "601-969-1171",
            "fax_number": "601-969-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N STATE ST",
            "address_2": "SUITE 311",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39202",
            "telephone_number": "601-969-1171",
            "fax_number": "601-969-1173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 S 28th Ave",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017246",
            "country_code": "US",
            "telephone_number": "601-264-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "DEREK",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "14975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119621",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.