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

Dr. John Gayle Van Derwood, MD

Individual provider Family Medicine Physician · NPI 1205949013

Dr. John Gayle Van Derwood, MD is a Family Practice in Daphne, Alabama. Graduated from University of Alabama School of Medicine in 1983, 43 years ago. Practices with Imc-Diagnostic and Medical Clinic LLC, a 168-clinician group and accepts Medicare assignment. Licensed in Alabama and Mississippi.

Years since qualifying
43
Trained at
University of Alabama School of Medicine
Licensed in
AL, MS
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7101 US Highway 90 Ste 202
Daphne, AL 36526-9512
Phone: (251) 625-8211
Fax: (251) 625-8219
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11539 (AL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 14230 (MS)

Record details

NPI number1205949013
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESDecember 20, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 1983 (43 years in practice)
Group practice Imc-Diagnostic And Medical Clinic Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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