Individual provider Active NPI

Justin De'Prey, MD

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1356872063
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME148855 Issued in FL
Practice address
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone
(239) 208-2212
NPI assigned
Mar 23, 2017
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X TRN25045 FL
Neurology Physician 2084N0400X MD215916 OR
Neurology Physician 2084N0400X U5383 TX
Neurology Physician 2084N0400X 69987 AZ
Neurology Physician 2084N0400X ME148855 FL Primary
Hospitalist Physician 208M00000X ME148855 FL

Addresses

Primary practice location

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206

Mailing address

PO Box 100236
Gainesville, FL 32610-0236
Phone (352) 273-5550

Other practice location 1

1600 SW Archer Rd
Suite 4102
Gainesville, FL 32610-3003
Phone (352) 265-0239

Other practice location 2

2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 344-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI, AZ, NY, IA, KY, SC, WA, OR, NH, ND, GA, OH, MO14 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 14

Enrollment IDStateProvider typePAC IDDetails
I20220621003409 FL Practitioner - Neurology 3274806674 Reassigns benefits to 15 organizations
I20230622000713 MI Practitioner - Neurology 3274806674 Reassigns benefits to 1 organization
I20230627003078 AZ Practitioner - Neurology 3274806674 Reassigns benefits to 1 organization
I20230711000437 NY Practitioner - Neurology 3274806674 Reassigns benefits to 5 organizations
I20230802001874 IA Practitioner - Neurology 3274806674
I20230804002930 KY Practitioner - Neurology 3274806674 Reassigns benefits to 1 organization
I20230809001697 SC Practitioner - Neurology 3274806674 Reassigns benefits to 5 organizations
I20230905003871 WA Practitioner - Neurology 3274806674 Reassigns benefits to 1 organization
I20230905003910 OR Practitioner - Neurology 3274806674 Reassigns benefits to 2 organizations
I20230912001746 NH Practitioner - Neurology 3274806674 Reassigns benefits to 4 organizations
I20230929003232 ND Practitioner - Neurology 3274806674 Reassigns benefits to 2 organizations
I20231120002096 GA Practitioner - Neurology 3274806674 Reassigns benefits to 3 organizations
I20240227000432 OH Practitioner - Neurology 3274806674 Reassigns benefits to 1 organization
I20240830002213 MO Practitioner - Neurology 3274806674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Samaritan Hospital Medical CenterGroup PAC ID 5294639951, shared by 4 NPIs, 152 clinicians
Virtual Neurology Kansas LLCGroup PAC ID 9436694270, 47 clinicians
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians
Piedmont Athens Hospitalist Physicians LLCGroup PAC ID 6305196411, 174 clinicians
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
St Charles Hospital CorpGroup PAC ID 6103733050, 62 clinicians
Summit Healthcare AssociationGroup PAC ID 3779568647, 78 clinicians
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
St. Joseph HospitalGroup PAC ID 1254222938, 101 clinicians
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Mercy Medical CenterGroup PAC ID 4082518006, 83 clinicians
Telespecialists North Carolina Neurology Services PLLCGroup PAC ID 7719348978, 28 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

Ellenton, FL 34222
Phone (631) 376-6000

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000

1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-5076

13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-2606

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 474-6000

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

23450 Via Coconut PT
Estero, FL 34135-1877
Phone (239) 468-0120

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 230-3138

2790 Clay Edwards Dr
Suite 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157

350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100

4188 Little Gap Loop
Ellenton, FL 34222-3912
Phone (516) 579-6000

4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 579-6000

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000

80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-2819

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-5275

9981 S Healthpark Dr
Fort Myers, FL 33908-3618

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69987AZMDNeurology Physician
U5383TXMDNeurology Physician
ME148855FLMDHospitalist Physician

Practice roles (60 of 69)

OrganizationSpecialtyStatusNew patients
McLeod Health Cheraw Family Medicine CurrentSince Jul 27, 2023 Accepting new patients
McLeod Health Clarendon Family Medicine CurrentSince Jul 27, 2023 Accepting new patients
Meritas Health Corporation Neurology CurrentSince Oct 1, 2024 Accepting new patients
Nchmd, Inc CurrentSince May 31, 2023 Accepting new patients
Altru Health System Family Medicine CurrentSince Sep 28, 2023 Accepting new patients
Concord Hospital-Laconia Family Medicine CurrentSince Jul 30, 2023 Accepting new patients
St Alexius Medical Center CurrentSince Oct 2, 2024 Accepting new patients
Summit Healthcare Association CurrentSince Aug 1, 2023 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Dec 17, 2023 Accepting new patients
Mercy Medical Center Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Altru Health System CurrentSince Sep 28, 2023 Accepting new patients
Concord Hospital, Inc. CurrentSince Aug 11, 2023 Accepting new patients
McLeod Medical Center-Dillon CurrentSince Jul 27, 2023 Accepting new patients
Summit Healthcare Association Neurology CurrentSince Aug 1, 2023 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Family Medicine CurrentSince Jul 27, 2023 Accepting new patients
St. Catherine of Siena Medical Center CurrentSince May 28, 2023 Accepting new patients
Concord Hospital, Inc. CurrentSince Aug 11, 2023 Accepting new patients
St. Alexius Medical Center CurrentSince Oct 2, 2024 Accepting new patients
Silverton Health CurrentSince Aug 22, 2023 Accepting new patients
Telespecialists North Carolina Neurology Services PLLC Neurology CurrentSince Aug 17, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Aug 8, 2023 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Jul 27, 2023 Accepting new patients
McLeod Health Cheraw CurrentSince Jul 27, 2023 Accepting new patients
Virtual Neurology PC Neurology CurrentSince Mar 31, 2024 Accepting new patients
DCHD Health Care Professionals LLC CurrentSince Mar 13, 2024 Accepting new patients
Legacy Salmon Creek Hospital Hospitalist CurrentSince Aug 22, 2023 Accepting new patients
North Mississippi Medical Center Inc. Neurology CurrentSince Dec 10, 2024 Accepting new patients
St Joseph Hospital of Nashua NH Family Medicine CurrentSince Dec 17, 2023 Accepting new patients
St Charles Hospital Corp CurrentSince Jun 1, 2023 Accepting new patients
McLeod Health Clarendon CurrentSince Jul 27, 2023 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
Lakeland Medical Practices Internal Medicine CurrentSince May 2, 2023 Accepting new patients
Piedmont Hospitalist Physicians LLC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Jun 1, 2023 Accepting new patients
Lakeland Medical Practices Internal Medicine CurrentSince May 2, 2023 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2023 Accepting new patients
Mercy Medical Center Internal Medicine Current Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Jul 27, 2023 Accepting new patients
Kettering Independent Medical Group Inc Family Medicine CurrentSince Jan 8, 2024 Accepting new patients
Upson County Hospital Inc Neurology CurrentSince Oct 10, 2023 Accepting new patients
Meritas Health Corporation Neurology CurrentSince Oct 1, 2024 Accepting new patients
Silverton Health Current Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Upson County Hospital Inc Family Medicine CurrentSince Oct 10, 2023 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Aug 22, 2023 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
McLeod Medical Center-Dillon Hospitalist CurrentSince Jul 27, 2023 Accepting new patients
Lee Memorial Health System CurrentSince Aug 8, 2023 Accepting new patients
Meritas Health Corporation Family Medicine Current Accepting new patients
Nchmd Inc Current Accepting new patients
Silverton Health Family Medicine CurrentSince Aug 22, 2023 Accepting new patients
Upson Medical Associates LLC Family Medicine CurrentSince Jun 30, 2024 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jul 27, 2023 Accepting new patients
St. Joseph Hospital CurrentSince Jun 1, 2023 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Dec 10, 2024 Accepting new patients
Legacy Clinics LLC Family Medicine CurrentSince Aug 22, 2023 Accepting new patients
Baptist Health Medical Group Inc Family Medicine Current Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince May 31, 2023 Accepting new patients
Lee Health System Inc Family Medicine CurrentSince Oct 1, 2024 Accepting new patients

Locations (25 of 57)

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

11215 Metro Pkwy
Bldg 3
Fort Myers, FL 33966
Phone (470) 816-5071

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

9151 NE 81st Ter
Ste 220
Kansas City, MO 64158
Phone (816) 453-4000

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jdeprey230498@santaclaravalley.direct-ci.net
  • Direct secure messaging: jdeprey2706771@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: jdeprey4030943@direct.trinity-health.org
  • Direct secure messaging: jdeprey71915@epicdirect.hf.org
  • Direct secure messaging: jdeprey864843@direct.emplifyhealth.org

Organizations & group practices 71

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.

View all 71

Hospital & facility affiliations 7

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1356872063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100236",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100236",
            "telephone_number": "352-273-5550",
            "fax_number": "352-273-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_2": "Suite 4102",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-0239",
            "fax_number": "352-265-1107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647127",
            "country_code": "US",
            "telephone_number": "928-344-2000",
            "fax_number": "928-363-3215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE'PREY",
        "first_name": "JUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN25045",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD215916",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "U5383",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "69987",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME148855",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME148855",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.