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DR. DEREK LAMONT DARBY JR. MD
NPI 1518548866
Internal Medicine in Macon, GA

Active since April 19, 2021PECOS EnrolledAccepts Medicare Assignment
777 HEMLOCK STREET MSC #104, MACON, GA 31201(478) 633-7550(478) 633-3235 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 24, 2024, Apr 19, 2021 (2 updates tracked since 2021).

About Dr. Derek Lamont Darby Jr. Md NPPES

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

DR. DEREK LAMONT DARBY JR. MD (NPI 1518548866) is an individual internal medicine provider in Macon, Georgia, licensed in Georgia (98855) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Phoebe Sumter Medical Center, and is a graduate of Morehouse School Of Medicine (2021).

NPPES Registry Identity

NPI1518548866
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DEREK LAMONT DARBY JR.Credential: MD
Location Address777 HEMLOCK STREET MSC #104Macon, GA 31201
Mailing Address777 Hemlock Street Msc #104Macon, GA 31201 · (478) 633-7550 · Fax (478) 633-3235
Phone(478) 633-7550
Fax(478) 633-3235
Sole ProprietorYes
Medical School CMSMorehouse School Of MedicineGraduated 2021
Enumeration DateApril 19, 2021
Last NPPES UpdateJuly 24, 20242 updates tracked since enumeration
NPPES CertifiedJuly 5, 2024
✔ NPI 1518548866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 98855
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Derek Lamont Darby Jr. Md 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 ID42758773
PECOS Enrollment IDI20240813002803
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Derek Darby reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cogent Healthcare Of Georgia PC
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 635 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200
Cogent Healthcare Of Macon, LLC
Internal Medicine
777 HEMLOCK ST
Macon, GA 31201
  • Reassigned Medicare billing, Georgia enrollment
  • 114 clinicians in this Medicare group
NPI 1073564217 (478) 633-7550
Georgia Hospital Medicine Physicians LLC
Hospitalist
801 W GORDON ST
Thomaston, GA 30286
  • Reassigned Medicare billing, Georgia enrollment
  • 34 clinicians in this Medicare group
NPI 1164371415 (337) 581-6920
Phoebe Infectious Disease
Clinic/Center
507 W 3RD AVE, STE 3
Albany, GA 31701
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
NPI 1114220852 (229) 312-5800
Sound Physicians Of Wyoming, LLC
Hospitalist
1233 E 2ND ST
Casper, WY 82601
  • Reassigned Medicare billing, Wyoming enrollment
  • 108 clinicians in this Medicare group
NPI 1982982708 (800) 822-7201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
67 services66 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Phoebe Sumter Medical Center

Acute Care Hospitals · Americus, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110044
Location126 Highway 280 WAmericus, GA 31719 · Sumter County
Emergency services Birthing friendly

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Navicent Health Baldwin

Acute Care Hospitals · Milledgeville, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110150
Location821 North Cobb StreetMilledgeville, GA 31061 · Baldwin County
Emergency services Birthing friendly

Piedmont Macon North Hospital

Acute Care Hospitals · Macon, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110201
Location400 Charter BoulevardMacon, GA 31210 · Bibb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
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

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

DIAMOND JUDE MD
Internal Medicine
777 HEMLOCK STREET MSC #104
MACON, GA 31201
Bibb County (478) 741-7241

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 Derek Darby's NPI number?

The NPI number for Derek Darby is 1518548866. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Derek Darby located?

Derek Darby practices at 777 Hemlock Street Msc #104, Macon, GA 31201. The listed phone number is (478) 633-7550.

What is Derek Darby's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Derek Darby enrolled in Medicare?

Yes. Derek Darby 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.

Which organizations bill Medicare for Derek Darby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Darby reassigns Medicare benefits to 5 organizations: Cogent Healthcare Of Georgia PC (Macon, GA), Cogent Healthcare Of Macon, LLC (Macon, GA), Georgia Hospital Medicine Physicians LLC (Thomaston, GA), Phoebe Infectious Disease (Albany, GA) and Sound Physicians Of Wyoming, LLC (Casper, WY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Darby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Darby accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Derek Darby 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.

Is Derek Darby affiliated with any hospitals?

According to CMS data, Derek Darby is affiliated with Phoebe Sumter Medical Center, Houston Healthcare, Atrium Health Navicent The Medical Center, Navicent Health Baldwin and Piedmont Macon North Hospital.

When was this NPI record last updated?

The NPPES record for Derek Darby was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.