Individual provider

Jonathan Derryberry, CAA

Anesthesiologist Assistant Medicare enrolled

Jonathan Derryberry, CAA is an Anesthesiologist Assistant in Rome, GA, registered under NPI 1831779578.

Getting there

The practice address on file is 304 TURNER MCCALL BLVD SW, Rome, GA 30165. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

304 TURNER MCCALL BLVD SW, Rome, GA 30165 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Anesthesiology Assistant
PAC ID
3678945714
Enrollment ID
I20230217001966

Medicare enrolment is recorded as approved under the provider type Practitioner - Anesthesiology Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Anesthesiologist Assistant covers

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. NUCC Health Care Provider Taxonomy, code 367H00000X
Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1831779578 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 8, 2021
Last updatedDec 15, 2022
StatusActive
Sole proprietorNo
CredentialCAA
Practice address 304 TURNER MCCALL BLVD SW
Rome, GA 30165
(404) 727-5910
The last update on file is Dec 15, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1831779578 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 8 3 1 7 7 9 5 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 6 1 5 7 9 5 5

Sum = 72 · next multiple of 10 = 80 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1831779578?
NPI 1831779578 is the National Provider Identifier assigned to Jonathan Derryberry, CAA in Rome, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Anesthesiologist Assistant cover?
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and…
How do I contact Jonathan Derryberry, CAA?
The phone number on file with NPPES is (404) 727-5910, last updated Dec 15, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jonathan Derryberry, CAA accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1831779578 a valid number?
Yes. 1831779578 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.