Derrick Antonie Nesbitt

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

360 Franklin Dr
Dacula, GA 30019-3434

Phone

(678) 350-8489

NPI assigned

Oct 1, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Derrick Nesbitt Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Gen-Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Dacula, GA
  • NPI 1205470853
  NPD

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1275174245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 FRANKLIN DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300193434",
            "telephone_number": "678-350-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 FRANKLIN DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300193434",
            "telephone_number": "678-350-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBITT",
        "first_name": "DERRICK",
        "middle_name": "ANTONIE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "operations@gen-transport.com",
            "affiliation": "N",
            "address_1": "360 Franklin Dr",
            "city": "Dacula",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300193434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DERRICK",
            "last_name": "NESBITT",
            "credential": "TRANSPORTATION",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Memma N/a Nchelem
• Emelda Ndikum
• Ndubuisi Apu Ndukwe, M.D
• Barbara A Nelson
• Rose Jarda Neptune, OTR
• Olive-Mae Neufville
• Neuro Nest ABA Therapy
• Neuropathy Wellness Specialists, LLC
• Neurospine Atlanta, LLC.
• New Life Progressive Health

• Driver in Dacula, GA
• Providers in Dacula, GA by specialty
• Driver in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.