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JEFFREY DERICK MD
NPI 1316927395
Family Medicine in North Wilkesboro, NC

Active since January 18, 2006
1919 W PARK DR, NORTH WILKESBORO, NC 28659(336) 651-2980(336) 667-2047 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeffrey Derick Md NPPES

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

JEFFREY DERICK MD (NPI 1316927395) is an individual family medicine provider in North Wilkesboro, North Carolina, licensed in North Carolina (25260) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1316927395
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEFFREY DERICKCredential: MD
Location Address1919 W PARK DRNorth Wilkesboro, NC 28659-3564
Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 651-2980 · Fax (336) 667-2047
Phone(336) 651-2980
Fax(336) 667-2047
Sole ProprietorNo
Enumeration DateJanuary 18, 2006
Last NPPES UpdateFebruary 4, 2013
✔ NPI 1316927395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 25260
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1919 W PARK DR, North Wilkesboro, NC 28659
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Other Identifiers 3

Medicare ID-Type Unspecified205893ENC
Medicaid7928360NC
Medicare UPINC83518NC

Other Providers at the Same Location NPPES 16

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

DR. SARAH SHEPHERD MILLER RN, DNP, FNP-C
Nurse Practitioner
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980
MRS. SANDRA K. BAKER MD
Family Medicine
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980
MRS. KRISTY MCLEOD BRAY APRN
Nurse Practitioner
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980
DEANNA DILLON
Nurse Practitioner
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980
MIRIANA LYON HAMILTON PA-C
Physician Assistant
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980
DR. LAURALEE WILSON MD
Family Medicine
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980
MRS. ASHLEY ANNA SHELL
Physician Assistant
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980
MANDY SUZANNE ELLER SHUMATE FNP
Nurse Practitioner
1919 W PARK DR
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-2980

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 Jeffrey Derick's NPI number?

The NPI number for Jeffrey Derick is 1316927395. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Jeffrey Derick located?

Jeffrey Derick practices at 1919 W Park Dr, North Wilkesboro, NC 28659. The listed phone number is (336) 651-2980.

What is Jeffrey Derick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Derick was last updated on February 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.