JOHN CARMEN DERCOLA PA
NPI 1417952433
Physician Assistant - Medical in Marietta, GA

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060(770) 424-6893(770) 528-9926 Get Directions Write a Review

NPPES record last updated: January 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Carmen Dercola Pa NPPES

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

JOHN CARMEN DERCOLA PA (NPI 1417952433) is an individual medical provider in Marietta, Georgia, licensed in Georgia (002707) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Hahnemann University College Of Medicine (1985).

NPPES Registry Identity

NPI1417952433
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJOHN CARMEN DERCOLACredential: PA
Location Address55 WHITCHER ST NE, SUITE 350Marietta, GA 30060-1155
Mailing Address55 Whitcher St Ne, Suite 350Marietta, GA 30060-1155 · (770) 424-6893 · Fax (770) 528-9926
Fax(770) 528-9926
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1985
Enumeration DateJune 16, 2005
Last NPPES UpdateJanuary 2, 2013
NPI 1417952433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 002707
55 WHITCHER ST NE, Marietta, GA 30060

Other Identifiers 6

Medicaid100001072HGA
Medicaid100001073BGA
Medicare UPIN202I978834GA
Medicaid100001073CGA
Medicaid100001072F-GA
Medicaid100001072GGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Carmen Dercola Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587723663
PECOS Enrollment IDI20081104000444
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
138 services99 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
12 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Nephrology)
55 WHITCHER ST NE, STE 460
MARIETTA, GA 30060
Surgery
55 WHITCHER ST NE, SUIT 130
MARIETTA, GA 30060
Physician Assistant
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Internal Medicine (Critical Care Medicine)
55 WHITCHER ST NE, SUITE 160
MARIETTA, GA 30060
Internal Medicine (Clinical Cardiac Electrophysiology)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Internal Medicine (Clinical Cardiac Electrophysiology)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Nurse Practitioner (Acute Care)
55 WHITCHER ST NE
MARIETTA, GA 30060
Nurse Practitioner (Family)
55 WHITCHER ST NE, SUITE 250
MARIETTA, GA 30060

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 John Dercola's NPI number?

The NPI number for John Dercola is 1417952433. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is John Dercola located?

John Dercola practices at 55 Whitcher St NE Suite 350, Marietta, GA 30060. The listed phone number is (770) 424-6893.

What is John Dercola's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is John Dercola enrolled in Medicare?

Yes. John Dercola is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Dercola accept?

Health plans from Alliant Health Plans, Inc. list John Dercola as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Dercola was last updated on January 2, 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.