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

NPI Status: Active since October 19, 2006

Contact Information

117 KITE RD
SWAINSBORO, GA
ZIP 30401
Phone: (478) 289-1368
Fax: (478) 289-1300

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Emergency Medicine

About BOBBY DERRICK

This page provides the complete NPI Profile along with additional information for Bobby Derrick, a provider established in Swainsboro, Georgia with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1124100359 assigned on October 2006. The practitioner's primary taxonomy code is 207P00000X with license number 019510 (GA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI: 1124100359
Provider Name: BOBBY LEE DERRICK MD
Gender: Male
Entity Type: Individual
Location Address: 117 KITE RD SWAINSBORO, GA 30401
Location Phone: (478) 289-1368
Location Fax: (478) 289-1300
Mailing Address: PO BOX 879 SWAINSBORO, GA 30401
Mailing Phone: (478) 289-1368
Mailing Fax: (478) 289-1300
Is Sole Proprietor?: No
Enumeration Date: 10-19-2006
Last Update Date: 09-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Emergency Medicine
Taxonomy Code: 207P00000X
Type: Allopathic & Osteopathic Physicians
License No.: 019510
License State: GA
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	208600000X	Allopathic & Osteopathic Physicians	Surgery	019510 (GA)

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124100359, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 41. The final step is to find the difference between that total and the next multiple of ten (50 - 41 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 4

Pos 4

Unchanged

Pos 5

Doubled → 2

Pos 6

Unchanged

Pos 7

Doubled → 0

Pos 8

Unchanged

Pos 9

Doubled → 10 → 1 + 0

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 2 + 0 + 0 + 3 + 1 + 0 + 24 = 41

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 41 is 50. The difference is the calculated check digit.

50 - 41 = 9

This NPI is valid

The calculated check digit is 9, which matches the last digit of 1124100359.