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BOBBY LEE DERRICK MD
NPI 1124100359
Emergency Medicine in Swainsboro, GA

Active since October 19, 2006
117 KITE RD, SWAINSBORO, GA 30401(478) 289-1368(478) 289-1300 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bobby Lee Derrick Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOBBY LEE DERRICK MD (NPI 1124100359) is an individual emergency medicine provider in Swainsboro, Georgia, licensed in Georgia (019510) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1124100359
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBOBBY LEE DERRICKCredential: MD
Location Address117 KITE RDSwainsboro, GA 30401-3231
Mailing AddressPo Box 879Swainsboro, GA 30401-0879 · (478) 289-1368 · Fax (478) 289-1300
Phone(478) 289-1368
Fax(478) 289-1300
Sole ProprietorNo
Enumeration DateOctober 19, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1124100359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 019510
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedSurgeryTaxonomy 208600000X · License 019510 (GA)
117 KITE RD, Swainsboro, GA 30401
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT JAY WAGNER MD
Emergency Medicine
117 KITE RD
SWAINSBORO, GA 30401
Emanuel County (478) 289-1100
EMANUEL COUNTY HOSPITAL AUTHORITY
Clinic/Center (Urgent Care)
117 KITE RD
SWAINSBORO, GA 30401
Emanuel County (478) 289-1303
GREGORY MAX PYNE MD
Emergency Medicine
117 KITE RD
SWAINSBORO, GA 30401
Emanuel County (478) 289-1349
EMANUEL HOSPITAL AUTHORITY
Pharmacy (Community/Retail Pharmacy)
117 KITE RD
SWAINSBORO, GA 30401
Emanuel County (478) 289-1302
MARY JO GREENWAY NP
Nurse Practitioner
117 KITE RD, SECOND FLOOR
SWAINSBORO, GA 30401
Emanuel County (478) 289-1150
EMANUEL EMERGENCY GROUP LLC
Emergency Medicine
117 KITE RD
SWAINSBORO, GA 30401
Emanuel County (478) 237-9911
EMANUEL COUNTY HOSPITAL AUTHORITY
General Acute Care Hospital (Rural)
117 KITE RD
SWAINSBORO, GA 30401
Emanuel County (478) 289-1309
MS. LAURA GROTH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
117 KITE RD
SWAINSBORO, GA 30401
Emanuel County (478) 289-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bobby Derrick's NPI number?

The NPI number for Bobby Derrick is 1124100359. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Bobby Derrick located?

Bobby Derrick practices at 117 Kite Rd, Swainsboro, GA 30401. The listed phone number is (478) 289-1368.

What is Bobby Derrick's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Bobby Derrick was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.