1. Home
  2. Directory
  3. Georgia
  4. Fort Benning
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DEREK MATTHEW LIVINGSTON
NPI 1639080435
Student in an Organized Health Care Education/Training Program in Fort Benning, GA

Active since September 14, 2026
6600 VAN AALST BLVD, FORT BENNING, GA 31905(762) 408-2613 Get Directions Write a Review

NPPES record added: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Derek Matthew Livingston NPPES

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

DEREK MATTHEW LIVINGSTON (NPI 1639080435) is an individual student in an organized health care education/training program in Fort Benning, Georgia and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1639080435
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEREK MATTHEW LIVINGSTON
Location Address6600 VAN AALST BLVDFort Benning, GA 31905-2102
Mailing Address6600 Van Aalst BlvdFort Benning, GA 31905-2102 · (762) 408-2613
Phone(762) 408-2613
Sole ProprietorNo
Enumeration DateSeptember 14, 2026
NPPES CertifiedSeptember 13, 2026
✔ NPI 1639080435 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.
6600 VAN AALST BLVD, Fort Benning, GA 31905
Open in Google Maps ↗

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.

DR. DAVID SORENSEN MD
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-0374
DR. THOMAS ALEXANDER O'HARA DO
Surgery
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (624) 083-6697
DR. JOSHUA ALLEN WILSON MD
Hospitalist
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-2273
ERIC HENDERSON
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-3107
DR. STEVEN ELIOT REISSMAN D.O.
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (706) 544-3218
DR. ANTONIO ZIHERL D.O.
Emergency Medicine
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-2604
DR. BROOKE KAHL CRNA
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-3230
DR. CHARLES WARREN GILES MOUNTS
Family Medicine (Sleep Medicine)
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-3426

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 Livingston's NPI number?

The NPI number for Derek Livingston is 1639080435. It was assigned to this individual provider in the NPPES registry on September 14, 2026.

Where is Derek Livingston located?

Derek Livingston practices at 6600 Van Aalst Blvd, Fort Benning, GA 31905. The listed phone number is (762) 408-2613.

What is Derek Livingston'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 Derek Livingston was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.