DERRICK YORK
NPI 1639050156
Student in an Organized Health Care Education/Training Program in Martinez, GA

Q: What is Derrick York's NPI number?

The NPI number for Derrick York is 1639050156. It was assigned to this individual provider in the NPPES registry on September 10, 2025.

Q: What is Derrick York's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Derrick York was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 September 10, 2025

4210 COLUMBIA RD STE 13B, MARTINEZ, GA 30907(706) 496-2856 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Derrick York NPPES

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

DERRICK YORK (NPI 1639050156) is an individual student in an organized health care education/training program in Martinez, Georgia and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1639050156

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDERRICK YORK

Location Address4210 COLUMBIA RD STE 13BMartinez, GA 30907-0445

Mailing Address1516 Bowdoin Dr Apt 1516Augusta, GA 30909-4510 · (678) 602-1702

Phone(706) 496-2856

Sole ProprietorNo

Enumeration DateSeptember 10, 2025

NPPES CertifiedSeptember 10, 2025

✔ NPI 1639050156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4210 COLUMBIA RD STE 13B, Martinez, GA 30907

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Other Providers at the Same Location NPPES 2

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

SHATISHA MATRICE WILSON MS, LPC, RPT-S, ACS

Counselor (Professional)

4210 COLUMBIA RD STE 13B
MARTINEZ, GA 30907

Columbia County (706) 496-2856

MISS JA'NICIA I. WILSON MSW

Social Worker

4210 COLUMBIA RD STE 13B
MARTINEZ, GA 30907

Columbia County (706) 496-2856

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 Derrick York's NPI number?

The NPI number for Derrick York is 1639050156. It was assigned to this individual provider in the NPPES registry on September 10, 2025.

Where is Derrick York located?

Derrick York practices at 4210 Columbia Rd Ste 13B, Martinez, GA 30907. The listed phone number is (706) 496-2856.

What is Derrick York's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Derrick York was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.