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

Mr. James Quincey Derrick, PA

Individual provider Physician Assistant · NPI 1346471802

Mr. James Quincey Derrick, PA is a Physician Assistant in Tierra Amarilla, New Mexico. Licensed in New Mexico. Registered with an NPI since 2009.

Licensed in
NM
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

Cr 0324 Hwy 84 N #14
Tierra Amarilla, NM 87575
Phone: (575) 588-7252
Fax: (575) 588-9132
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2009-0016 (NM)

Record details

NPI number1346471802
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 31, 2009
Last updated in NPPESAugust 22, 2011

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