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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jerold A. Derkaz, MD PA

Family Medicine Physician in Defuniak Springs, FL · enumerated 2007 · authorized official Amanda Arcabascio, Receptionist.

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

National Provider Identifier

1477736106

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Registry record

Entity type Organization (Type 2)
Legal business name Jerold A. Derkaz, MD PA
Practice address 1290 Circle Dr, Defuniak Springs, FL, 32435
Phone (850) 892-6600
Fax (850) 520-4660
Enumeration date Dec 17, 2007
Last updated in NPPES May 19, 2011

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License ME0046412 (FL) Primary

Authorized official

Name Amanda Arcabascio
Title Receptionist
Phone (850) 892-6600

Other identifiers

Identifier Type State Issuer
76015 Other FL BCBS
K3534 Other FL MEDICARE ID
262982800 Medicaid FL -

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Jerold A. Derkaz, MD PA?
Jerold A. Derkaz, MD PA is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-05-19.