Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrell L Nesmith, CSA

Individual provider Surgical Physician Assistant · NPI 1558696484

Derrell L Nesmith, CSA is a Surgical Physician Assistant in Kennesaw, Georgia. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

3091 Cobb Pkwy NW
Kennesaw, GA 30152-5891
Phone: (404) 932-0637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1558696484
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedOctober 9, 2009
Last updated in NPPESOctober 9, 2009
Mailing address3091 Cobb Pkwy Nw, Kennesaw, GA 30152-5891

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