Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

John Carmen Dercola, PA

Medical Physician Assistant in Marietta, GA · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417952433

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Registry record

Entity type Individual (Type 1)

Name John Carmen Dercola

Credential PA

Sex Male

Practice address 55 Whitcher St Ne, Suite 350, Marietta, GA, 30060

Phone (770) 424-6893

Fax (770) 528-9926

Enumeration date Jun 16, 2005

Last updated in NPPES Jan 2, 2013

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 002707 (GA) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier	Type	State	Issuer
100001072G	Medicaid	GA	-
100001072F-	Medicaid	GA	-
100001073B	Medicaid	GA	-
100001073C	Medicaid	GA	-
100001072H	Medicaid	GA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1417952433 active?

Yes, as of the latest NPPES snapshot, NPI 1417952433 is active (record last updated 2013-01-02).

How do I verify John Dercola's NPI record?

Cross-check NPI 1417952433 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-01-02.