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Jonathan David Derryberry , CAA

Anesthesiologist Assistant β€’ Rome, GA

Active NPI 1831779578 Individual Practitioner Male Practitioner
Practice location in NPPES

304 Turner Mccall Blvd Sw
Rome, GA 301655621

Call 4047275910 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

304 Turner Mccall Blvd Sw

Rome, GA 301655621

Telephone 4047275910
Organization at the Same NPPES Address or Phone
24 On Physicians, P.c. Facility NPI 1912956251

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Mak Anesthesia Georgia, Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Emory University School Of Medicine

Graduation Year

2022

What Public CMS Data Show

Anesthesiologist Assistant: NPPES taxonomy is a reported classification, not proof of board certification.

Open Payments general payments, program year 2025

All general payments: $146.71 across 5 records.

By nature of payment

  • Food and Beverage: $146.71 across 5 records.

Reporting-company totals

  • Becton, Dickinson and Company: $89.47 across 2 records.
  • Merck Sharp & Dohme LLC: $40.36 across 2 records.
  • Pacira Pharmaceuticals Incorporated: $16.88 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jonathan Derryberry has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Rome and Georgia

23 active clinicians are listed under Anesthesiologist Assistant with a practice address in Rome, GA (1,541 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Rome

0% of these 23 clinicians have the CMS telehealth indicator.

30.4% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $146.71.

Manufacturer Payment Nature Product Type Amount ($)
Becton, Dickinson and Company
Food and Beverage
In-kind items and services
HemoSphere General $50.49
Becton, Dickinson and Company
Food and Beverage
In-kind items and services
HemoSphere General $38.98
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
BRIDION General $20.75
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
BRIDION General $19.61
Pacira Pharmaceuticals Incorporated
Food and Beverage
In-kind items and services
Exparel General $16.88

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-12-15
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ANESTHESIOLOGY ASSISTANT

Medicare Enrollment ID

I20230217001966

Enrollment State Jurisdiction

GA

PECOS Control ID

3678945714

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Mak Anesthesia Georgia, Llc

2306 Wisteria Dr, Snellville, GA 300783561

Phone: 7709798200

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Patricia Chan

Student in an Organized Health Care Education/Training Program

NPI 1003586298
Megan Childs , CAA

Anesthesiologist Assistant

NPI 1154097764
Heather Koch

Anesthesiologist Assistant

NPI 1316432537
Caroline Szczecinski , AA-C

Anesthesiologist Assistant

NPI 1134889785

AAC

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location December 15, 2022

Registered at 304 TURNER MCCALL BLVD SW, ROME, GA 301655621 (Tel: 4047275910)

πŸ“
Updated Business Mailing Address December 15, 2022

Registered at 304 TURNER MCCALL BLVD SW, ROME, GA 301655621

πŸ‘€
Provider Name / Credentials Updated December 15, 2022

Recorded as JONATHAN DERRYBERRY, CAA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2022

Anesthesiologist Assistant

βœ…
NPI Profile Active April 08, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 08, 2021

Registered at 57 EXECUTIVE PARK S STE 300, ATLANTA, GA 303292287 (Tel: 4047275910)

πŸ“
Business Mailing Address (Initial Record) April 08, 2021

Registered at 57 EXECUTIVE PARK S STE 300, ATLANTA, GA 303292287

πŸ‘€
Provider Name / Credentials (Initial Record) April 08, 2021

Recorded as JONATHAN DERRYBERRY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 08, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831779578
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2021
Last Update: December 15, 2022
Sole Proprietor: No

Other Anesthesiologist Assistants in Rome

All Anesthesiologist Assistants in Rome

Mailing Address

304 Turner Mccall Blvd Sw

Rome, GA 301655621

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.