Active NPI
Derek E Marshall, MD
- Anesthesiology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 14975
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0119621 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL, TN, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14975 | MS | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Anesthesiology Associates of TN PC | Anesthesiology | Current | Accepting new patients |
| USA Health Anesthesia Billing Services, LLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Anesthesiology | Current | Accepting new patients |
| The Capital City Anesthesia Group, LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Consultants PA | Anesthesiology | Current | Accepting new patients |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Jackson Anesthesia Associates PA | Anesthesiology | Current | Accepting new patients |
| State of Mississippi-University of Mississippi Medical Center | Current | 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.
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1750300836
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1780737577
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1629635818
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1881123123
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Family Medicine Physician
- Grenada, MS
- NPI 1932538527
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1245282466
-
- Pain Medicine (Anesthesiology) Physician
- Jackson, MS
- NPI 1962823344
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1821198631
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olive Branch, MS
- NPI 1912341439
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.