Jerry C Depriest, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

G4976 Issued in TX

Practice address

1150 N 18TH St Ste 102
Abilene, TX 79601-2948

Phone

(325) 670-6500

Fax

(325) 676-8046

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Williams Trotter & Associates

  dba Clinical Pathology Associates

  • Clinical Medical Laboratory
  • Abilene, TX
  • NPI 1174659486
  Medicare reassignment NPD
• Williams Trotter & Associates

  dba Clinical Pathology Associates

  • Clinical Medical Laboratory
  • Abilene, TX
  • NPI 1942416615
  NPD

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1932235231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3138",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796043138",
            "telephone_number": "325-670-6500",
            "fax_number": "325-676-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 18TH ST STE 102",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012948",
            "telephone_number": "325-670-6500",
            "fax_number": "325-676-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPRIEST",
        "first_name": "JERRY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "G4976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacie Dennis Coley, DDS
• Robert Norton Dennis
• Dental Health Associates of TX, P.C. (Abilene Dental)
• Clifford L Deprang, M.D.
• Elaine N Deprang, PHARMD
• Dept of Assistive & Rehab Services - Abilene Field Office
• Cheryl Lea Deshazo, RD, LD
• Rafaela L Desoto-Ray III, LPC
• Deulofeut Physician Services PLLC
• Mattie Devries, RPH

• Anatomic Pathology & Clinical Pathology Physician in Abilene, TX
• Providers in Abilene, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.