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

John Burton Derrick

Individual provider Medical Physician Assistant · NPI 1932253606

John Burton Derrick is a Physician Assistant in Vidalia, Georgia. Graduated from Medical University of South Carolina College of Medicine in 1975, 51 years ago. Practices with Vidalia Family Care LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
51
Trained at
Medical University of South Carolina College of Medicine
Licensed in
GA
In the registry since
2007
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Practice location Address checks out

300 Arlington Dr
Vidalia, GA 30474-0645
Phone: (912) 538-0830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 01655 (GA)

Record details

NPI number1932253606
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 22, 2007
Last updated in NPPESMarch 7, 2023
Mailing address300 Arlington Dr, Po Box 645, Vidalia, GA 30475

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 1975 (51 years in practice)
Group practice Vidalia Family Care Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vidalia