Derrick Jay, RRT

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

A-5442 Issued in NC

Practice address

14 Davis Rd
Ridge Spring, SC 29129-9555

Phone

(803) 685-7508

NPI assigned

May 20, 2013

Last updated

May 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1992141733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DAVIS RD",
            "city": "RIDGE SPRING",
            "state": "SC",
            "postal_code": "291299555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DAVIS RD",
            "city": "RIDGE SPRING",
            "state": "SC",
            "postal_code": "291299555",
            "telephone_number": "803-685-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAY",
        "first_name": "DERRICK",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NC",
            "license": "A-5442",
            "primary": true
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "SC",
            "license": "RCP4458",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "GA",
            "license": "8468",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPIRATORY CARE PRACTITIONER",
            "identifier": "8468",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPIRATORY CARE PRACTITIONER",
            "identifier": "A-5442",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPIRATORY CARE PRACTITIONER",
            "identifier": "RCP4458",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Carter Banks, R.PH.
• Carolina Health Centers, Inc. (Ridge Spring Family Practice)
• Sarah Shannon Cotham, M.S.P CCC-SLP
• Dr D G Taylor PC
• Shemariah Farmer
• Melanie Dawn Johnson-Bailey, M.D.
• James Franklin Johnson III, PHARMD
• Sandra Padgett
• Jewel Sparkle Ann Pompey, DMD
• Hannah Summer, M.S.P, CFY-SLP

• Registered Respiratory Therapist in Ridge Spring, SC
• Providers in Ridge Spring, SC by specialty
• Registered Respiratory Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.