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DERRELL L NESMITH CSA
NPI 1558696484
Physician Assistant - Surgical in Kennesaw, GA

Active since October 09, 2009
3091 COBB PKWY NW, KENNESAW, GA 30152(404) 932-0637 Get Directions Write a Review

NPPES record last updated: October 9, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Derrell L Nesmith Csa NPPES

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

DERRELL L NESMITH CSA (NPI 1558696484) is an individual surgical provider in Kennesaw, Georgia and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1558696484
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDERRELL L NESMITHCredential: CSA
Location Address3091 COBB PKWY NWKennesaw, GA 30152-5891
Mailing Address3091 Cobb Pkwy NwKennesaw, GA 30152-5891 · (404) 932-0637
Phone(404) 932-0637
Sole ProprietorYes
Enumeration DateOctober 9, 2009
✔ NPI 1558696484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
3091 COBB PKWY NW, Kennesaw, GA 30152
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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 Derrell Nesmith's NPI number?

The NPI number for Derrell Nesmith is 1558696484. It was assigned to this individual provider in the NPPES registry on October 9, 2009.

Where is Derrell Nesmith located?

Derrell Nesmith practices at 3091 Cobb Pkwy NW, Kennesaw, GA 30152. The listed phone number is (404) 932-0637.

What is Derrell Nesmith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Derrell Nesmith was last updated on October 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.