Derrick Ashong, M.D.
Individual provider Active NPI Emergency Medicine Physician · Atlanta, GA
NPI 1619396405 · NPPES record last updated Sep 14, 2018
Key facts
- NPI
- 1619396405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- P080100 (GA)
- Practice address
- 5665 New Northside Dr Ste 320
Atlanta, GA 30328-5834 - Phone
- (404) 961-2745
- NPI assigned
- Apr 9, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Emory University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Rightsite Health Physicians PLLC
The Bortolazzo Group, LLC
Practice addresses (Care Compare)
1100 NE Loop
410 Suite 850
San Antonio, TX 78209-1543
Phone (210) 239-3130
1100 NE Loop 410
Suite 850
San Antonio, TX 78209-1543
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4000
405 E Laburnum Ave
Apt 3
Richmond, VA 23222-2134
Phone (210) 239-3130
6111 Peachtree Dunwoody Rd
Suite 201
Atlanta, GA 30328-6049
Phone (210) 239-3130
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in GA, VA, TX, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180618002537 | GA | Practitioner - Emergency Medicine | 5294950945 | Reassigns benefits to 2 organizations |
| I20231107003462 | VA | Practitioner - Emergency Medicine | 5294950945 | Reassigns benefits to 1 organization |
| I20231110001041 | TX | Practitioner - Emergency Medicine | 5294950945 | Reassigns benefits to 1 organization |
| I20231213001618 | FL | Practitioner - Emergency Medicine | 5294950945 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P080100 | GA | MD | Emergency Medicine Physician |
| 0309 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rightsite Health Physicians, PLLC | Emergency Medicine | Current |
Accepting new patients |
| The Bortolazzo Group, LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
6111 Peachtree Dunwoody Rd
Ste F201
Atlanta, GA 30328
Phone (210) 239-3130
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468
6111 Peachtree Dunwoody Rd
Ste 201
Sandy Springs, GA 30328
Phone (210) 239-3130
1100 NE Loop 410
Ste 850
San Antonio, TX 78209
Phone (210) 239-3130
8700 Crownhill Blvd
Ste 800
San Antonio, TX 78209
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0309 | MD | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | P080100 | GA | Yes |
Addresses
Primary practice location
5665 New Northside Dr Ste 320
Atlanta, GA 30328-5834
Mailing address
1830 E Monument St Ste 6-100
Baltimore, MD 21287-0020
Other practice location 1
1830 E Monument St Ste 6-100
Baltimore, MD 21287-0020
Phone (410) 955-3380
Other providers in Atlanta, GA
- Ashlyn Ellington LLC
- Corey Ashmore
- Hannah Beckwith Ashmore
- Michael E Ashmore
- Victory Leigh Ashmore
- Emir Ashour
- Amir H Ashrafi
- Paige Hilliel Ashworth
- Asian American Community Service Center
- Elizabeth Asibey
All providers in Atlanta, GA · Emergency Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.