Individual provider Active NPI

Derek McCranie

  • Surgery Physician
  • Port Charlotte, FL
National Provider Identifier
1669960134
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
166283 Issued in FL
Practice address
3440 Tamiami TRL Unit 1
Port Charlotte, FL 33952-8134
Phone
(941) 235-8217
NPI assigned
Apr 30, 2018
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 166283 FL Primary

Addresses

Primary practice location

3440 Tamiami TRL Unit 1
Port Charlotte, FL 33952-8134

Mailing address

1812 Highway 441 North
Suite 310
Okeechobee, FL 34972
Phone (863) 357-1510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux34
Removal of tissue18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
166283FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach General Surgery LLC Surgery CurrentSince Apr 1, 2024 Accepting new patients
Palm Beach General Surgery LLC Surgery PastSince Apr 1, 2024 Accepting new patients

Locations

12953 Palms West Dr
Ste 201
Loxahatchee, FL 33470
Phone (561) 790-2111

1812 US Highway 441 N
Ste 310A
Okeechobee, FL 34972
Phone (863) 357-1510

1924 US Highway 441 N
Okeechobee, FL 34972
Phone (863) 357-0540

1825 SE Tiffany Ave
Ste 101
Port St Lucie, FL 34952
Phone (772) 219-4026

6705 SW 57th Ave
Ste 504
South Miami, FL 33143
Phone (305) 669-7331

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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 1

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": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1669960134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 HIGHWAY 441 NORTH",
            "address_2": "SUITE 310",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "34972",
            "telephone_number": "863-357-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 TAMIAMI TRL UNIT 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528134",
            "telephone_number": "941-235-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRANIE",
        "first_name": "DEREK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "166283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.