Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Kenneth P Depersio, MD

Orthopaedic Surgery Physician in Douglas, GA · enumerated 2006.

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

National Provider Identifier

1437125812

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Registry record

Entity type Individual (Type 1)

Name Dr. Kenneth P Depersio

Credential MD

Sex Male

Practice address 100 Doctors Dr Ste F, Douglas, GA, 31533

Phone (912) 383-6575

Fax (912) 383-6476

Enumeration date Feb 27, 2006

Last updated in NPPES Mar 7, 2023

Taxonomy & licenses

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 053329 (GA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
341176	Other	GA	WELLCARE OF GEORGIA
904817618C	Medicaid	GA	-
904817618D	Medicaid	GA	-
956500	Other	GA	BCBS
205778734002	Other	-	TRICARE
GRP7930	Other	GA	MEDICARE GROUP # EFFECTIVE 02/01/2008
P00127268	Other	GA	RAILROAD MEDICARE
053329	Other	GA	MEDICAL LICENSE
053329	Other	GA	GA LICENSE

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.

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Frequently asked questions

What specialty is Kenneth Depersio?

Kenneth Depersio is registered in NPPES with the primary taxonomy of Orthopaedic Surgery Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Hewatt Sims Orthopaedic Surgery of the Spine Physician · Douglas, GA NPI 1386653061

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.