Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NOAH JOSIAH DERSCH PA
NPI 1447193511
Physician Assistant in Gainesville, GA

Q: What is Noah Dersch's NPI number?

The NPI number for Noah Dersch is 1447193511. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Q: What is Noah Dersch's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Noah Dersch was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.

Active since April 13, 2026PECOS Enrolled

1240 JESSE JEWELL PKWY SE STE 200, GAINESVILLE, GA 30501(770) 532-8438 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 29, 2026, Apr 13, 2026 (2 updates tracked since 2026).

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About Noah Josiah Dersch Pa NPPES

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

NOAH JOSIAH DERSCH PA (NPI 1447193511) is an individual physician assistant in Gainesville, Georgia, licensed in Georgia (14078) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1447193511

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameNOAH JOSIAH DERSCHCredential: PA

Location Address1240 JESSE JEWELL PKWY SE STE 200Gainesville, GA 30501-3861

Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-4020

Phone(770) 532-8438

Sole ProprietorNo

Enumeration DateApril 13, 2026

Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1447193511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in GA · 14078

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1240 JESSE JEWELL PKWY SE STE 200, Gainesville, GA 30501

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Secondary Practice Location 1

Location 1500 Washington St SEGainesville, GA 30501-3628 · Phone (770) 534-6100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noah Josiah Dersch Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

MRS. AMY ELISABETH WEEKS AGACNP

Nurse Practitioner (Gerontology)