Deren H Hooks, P.A.-C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4542 Issued in GA

Practice address

900 Gordon Ave
Thomasville, GA 31792-6613

Phone

(229) 226-0125

Fax

(229) 226-0195

NPI assigned

Jan 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Deren Harrison Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• South Georgia Surgical Associates, PC

  • Specialist
  • Thomasville, GA
  • NPI 1235245184
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1427038587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926613",
            "telephone_number": "229-226-0125",
            "fax_number": "229-226-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926613",
            "telephone_number": "229-226-0125",
            "fax_number": "229-226-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOKS",
        "first_name": "DEREN",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104361",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "4542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deren-hooks@vita-amgir.e-mdsdirect.com",
            "affiliation": "N",
            "address_1": "900 Gordon Ave",
            "city": "Thomasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317926613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEREN",
            "last_name": "HARRISON",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Arthur Holland, M.D.
• Jacqueline Holloway, PMHNP-BC
• Dylan Edward Holtman, DMD
• Hometown Homecare LLC
• Benjamin Honey, PA
• Michael A Hooks, PHARMD
• William B Hooks, PA-C
• Hopewell in Home Senior Care
• Ny'Teefa Tranasha Hopkins
• Thomas Gabriel Hotard I

• Medical Physician Assistant in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.