P Praxis·MD
● Active Type 1 · Individual

DR. Gary Derusso II, MD

Internal Medicine·Austell, GA· NPI 1548657398 · Enumerated 2015 · 11 years on NPI
Derusso is 1 of 10 internal medicine providers in Austell and 1 of 104 in Georgia.
NPI age
11 years
Enumerated 2015-04-20
Primary specialty
Internal Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-09-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 104 active internal medicine providers in Georgia.

NPI age
11 years
≈ at median (11 yr)
State licenses
1 state
25% of peers hold multiple states
Subspecialties
0
63% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-04Enumerated in NPPES
2015 2026

Where they practice

Practice location
3950 Austell Rd
Austell, GA 30106
📞 7707323585fax 7707323589
Mailing address
3950 Austell Rd
Austell, GA 301061121
📞 7707323585fax 7707323589

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
1250 E Marshall St
Richmond, VA 23298
📞 8048285094
Location 3
Dept Of Medicine Hsc Level 16, Stony Brook Hospital
Stony Brook, NY 117940001
📞 6314442058fax 6314442493
Location 4
1250 E Marshall St
Richmond, VA 23298
📞 8048285094

Specialties

  • Internal Medicine Primary
    An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team...
    GA license #83581 taxonomy 207RH0002X

Practice context

Part of a multi-provider practice. 270 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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