DERRICK WILLIAM RAILEY (FNP, AGACNP) – Nurse Practitioner, NPI 1891237814

DERRICK WILLIAM RAILEY (FNP, AGACNP) is a healthcare provider. based in Tifton, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP, AGACNP. They hold a License No. RN209392 (GA). The NPI Number for DERRICK WILLIAM RAILEY (FNP, AGACNP) is 1891237814

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DERRICK WILLIAM RAILEY (FNP, AGACNP)
NPI
1891237814
Phone
(912) 381-8580
Address
1437 TyTy Omega Rd
Enumeration Date
8 November 2016
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2295029782
Graduation Year
2016 (10 years ago)
PAC ID
3577849876
Group Practice PAC ID
0749568780
Professional Enrollment ID
I20170422000054
Address ID
GA317686925MO3131XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:9State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for DERRICK WILLIAM RAILEY (FNP, AGACNP)

  • 1437 TyTy Omega Rd

    Tifton, GA 31793

    Phone: (912) 381-8580

    Type: Location

  • East 16th Avenue, Cordele, Crisp County, Georgia, 31015, United States

    CORDELE, GA 310151514

    Phone: (229) 273-8881

    Type: Location

  • 3131 S MAIN ST

    MOULTRIE, GA 317686925

    Phone: (229) 891-9021

    Type: Location

  • PO BOX 2876

    MOULTRIE, GA 317762876

    Phone: (229) 502-9782

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $478.

Total Amount is formed as General ($478) + Research ($0) + Ownership ($0) = $478.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($169).

Total Amount

$478

General + Research + Ownership

Payments

23

Total payment records

General Amount

$478

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

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: 2017-04-22

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
I20170422000054INurse 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6626$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2815$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2222$0
99239Hospital discharge day management, more than 30 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 31793)

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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: 0749568780View full group profile
NameSpecialtyState
Family PracticeGA
Family PracticeGA
Internal MedicineGA
H O S P I T A L I S TGA
-GA
Family PracticeGA
Hospitalist, Internal MedicineGA
Internal MedicineGA
Internal MedicineGA
Hospitalist, Internal MedicineFL

Reviews

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Frequently asked questions

How is DERRICK WILLIAM RAILEY (FNP, AGACNP) identified in CMS data?
CMS-hosted NPPES data lists DERRICK WILLIAM RAILEY (FNP, AGACNP) with NPI 1891237814.
Is DERRICK WILLIAM RAILEY (FNP, AGACNP) still practicing?
DERRICK WILLIAM RAILEY (FNP, AGACNP) is currently listed as active in the public NPI registry.
What healthcare role does DERRICK WILLIAM RAILEY (FNP, AGACNP) hold?
Scheduling teams often label DERRICK WILLIAM RAILEY (FNP, AGACNP) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for DERRICK WILLIAM RAILEY (FNP, AGACNP)?
DERRICK WILLIAM RAILEY (FNP, AGACNP)'s geographic hint is Tifton, Georgia in our summary view.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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