P Praxis·MD
● Active Type 1 · Individual

Merrill Depetrillo, NP

Nurse Practitioner·Jasper, GA· NPI 1366458192 · Enumerated 2006 · 19 years on NPI
Depetrillo is 1 of 7 nurse practitioner providers in Jasper and 1 of 3206 in Georgia.
NPI age
19 years
Enumerated 2006-08-01
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
19 years
↑ 11 yr above median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
1266 Highway 515 S
Jasper, GA 301434872
📞 7066922441
Mailing address
6010 Riley Rd
Cumming, GA 300285927

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    GA license #RN108911 taxonomy 363L00000X
  • Internal Medicine
    An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
    GA license #RN108911 taxonomy 207RC0000X

Practice context

Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Jasper in the last 180 days. See all →
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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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