Individual provider Active NPI

Derek Paul De Grijs, M.D.

  • Vascular Surgery Physician
  • Franklin, TN
National Provider Identifier
1275893638
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
26892 Issued in MS
Practice address
4601 Carothers Pkwy Ste 375
Franklin, TN 37067-6000
Phone
(615) 791-4790
NPI assigned
May 20, 2012
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 26892 MS Primary

Addresses

Primary practice location

4601 Carothers Pkwy Ste 375
Franklin, TN 37067-6000

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

808 Hatcher Ln
Columbia, TN 38401-3524
Phone (931) 388-6256

Other practice location 2

4323 Carothers Pkwy Ste 300
Franklin, TN 37067-5917
Phone (615) 791-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200514000102 TN Practitioner - Vascular Surgery 8224274931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Tennessee, HSC, College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

4601 Carothers Pkwy
Suite 375
Franklin, TN 37067-6000
Phone (615) 791-4790

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal132
Leg revascularization (restoring blood flow)62
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26892MSMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince May 6, 2020 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince May 6, 2020 Accepting new patients

Locations

808 Hatcher Ln
Columbia, TN 38401
Phone (615) 791-4790

4323 Carothers Pkwy
Ste 300
Franklin, TN 37067
Phone (615) 599-1966

4601 Carothers Pkwy
Ste 375
Franklin, TN 37067
Phone (615) 791-4790

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: derek.degrijs@ahp.eclinicaldirectplus.com

Organizations & group practices 2

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

Hospital & facility affiliations 4

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": "1337472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1275893638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 CAROTHERS PKWY STE 375",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676000",
            "telephone_number": "615-791-4790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 Hatcher Ln",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384013524",
            "country_code": "US",
            "telephone_number": "931-388-6256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4323 Carothers Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370675917",
            "country_code": "US",
            "telephone_number": "615-791-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE GRIJS",
        "first_name": "DEREK",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-20",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MS",
            "license": "26892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.