NPI age
20 years
Enumerated 2005-06-16
● Active
Type 1 · Individual
John Carmen Dercola, PA
Dercola is 1 of 73 physician assistant providers in Marietta and 1 of 1333 in Georgia.
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-01-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1333 active physician assistant providers in Georgia.
NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-06Enumerated in NPPES
2005
2026
Where they practice
Practice location
55 Whitcher St Ne, Suite 350
Marietta, GA 300601155
Mailing address
55 Whitcher St Ne, Suite 350
Marietta, GA 300601155
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 100001072G | |
| 05 (GA) | 100001072F- | |
| 05 (GA) | 100001073B | |
| 05 (GA) | 100001073C | |
| 05 (GA) | 100001072H |
Practice context
Part of a multi-provider practice. 178 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.