P Praxis·MD
● Active Type 1 · Individual

Derick Jermaine Gerideau

Contractor·Lithonia, GA· NPI 1053022426 · Enumerated 2022 · 3 years on NPI
Gerideau is 1 of 12 contractor providers in Lithonia and 1 of 751 in Georgia.
NPI age
3 years
Enumerated 2022-12-07
Primary specialty
Contractor
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-12-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 751 active contractor providers in Georgia.

NPI age
3 years
↓ 4 yr below median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-12Enumerated in NPPES
2022 2026

Where they practice

Practice location
5517 Tunbridge Wells Rd
Lithonia, GA 300585670
📞 4046638342
Mailing address
5517 Tunbridge Wells Rd
Lithonia, GA 300585670
📞 4046638342

Specialties

  • Contractor Primary
    For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects...
    taxonomy 171W00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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