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

Dr. Todd Michael Derreberry, MD

Individual provider Geriatric Psychiatry Physician · NPI 1295962066

Dr. Todd Michael Derreberry, MD is a Geriatric Psychiatry Physician in Clemmons, North Carolina. Licensed in North Carolina and West Virginia. Registered with an NPI since 2009.

Licensed in
NC, WV
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2554 Lewisville Clemmons Rd Ste 207
Clemmons, NC 27012-9752
Phone: (336) 223-8220
Fax: (339) 207-0143
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2015-00894 (NC)
Geriatric Psychiatry Physician Taxonomy 2084P0805X · Licence 25736 (WV)
Psychiatry Physician Taxonomy 2084P0800X · Licence 25736 (WV)

Record details

NPI number1295962066
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2009
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020
Mailing address2554 Lewisville Clemmons Rd Ste 207, Clemmons, NC 27012-9752