DEREK AUSTIN DUBOIS (NP) – Family Nurse Practitioner, NPI 1023565199

DEREK AUSTIN DUBOIS (NP) is a healthcare provider. based in Marietta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN217341 (GA). The NPI Number for DEREK AUSTIN DUBOIS (NP) is 1023565199

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DEREK AUSTIN DUBOIS (NP)
NPI
1023565199
Phone
(770) 427-5717
Address
300 TOWER RD NE
Enumeration Date
7 September 2016
Last Update Date
7 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702241000
Graduation Year
2016 (10 years ago)
PAC ID
0648568402
Group Practice PAC ID
2961795190
Professional Enrollment ID
I20161011000773
Address ID
GA301158015CA450XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for DEREK AUSTIN DUBOIS (NP)

  • 300, Tower Road Northwest, Elizabeth, Marietta, Cobb County, Georgia, 30060, United States

    SUITE 200

    MARIETTA, GA 300609404

    Phone: (770) 427-5717

    Fax: (770) 514-5040

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $107.

Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Curonix LLC ($91).

Total Amount

$107

General + Research + Ownership

Payments

2

Total payment records

General Amount

$107

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161011000773INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
20610Aspiration and/or injection of fluid from large joint188117$0
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose16571$0
99213Established patient office or other outpatient visit, 20-29 minutes165153$0
73562X-ray of knee, 3 views6867$0
73502X-ray of hip, 2-3 views6765$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961795190View full group profile
NameSpecialtyState
Physician AssistantGA
-GA
Physician AssistantGA
Physician AssistantNC
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA
-GA
Orthopedic SurgeryMA
Physician AssistantGA

Reviews

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Frequently asked questions

Can I verify DEREK AUSTIN DUBOIS (NP) with an NPI only?
You can start verification with NPI 1023565199 for DEREK AUSTIN DUBOIS (NP), then check state licensing separately.
Can I rely on DEREK AUSTIN DUBOIS (NP) being an active provider?
As of the registry snapshot, DEREK AUSTIN DUBOIS (NP) is marked active.
What is DEREK AUSTIN DUBOIS (NP)'s primary classification?
Family Nurse Practitioner is the headline specialty for DEREK AUSTIN DUBOIS (NP) here. Clinical services aligned with this taxonomy classification.
Where should I expect DEREK AUSTIN DUBOIS (NP) on a map?
Expect Marietta, Georgia as a primary anchor for DEREK AUSTIN DUBOIS (NP) unless the record lists multiple sites.
Why does DEREK AUSTIN DUBOIS (NP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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