H Clark Deriso M.D.P.C.
NPI 1245412352ActiveOrganization· Specialist· Savannah, GA
Specialist in Savannah, Georgia, registered in NPPES in November 2007, part of H. Clark Deriso M.D.P.C. The authorized official on file is Henry Clark Deriso, M.D., Md.
Overview
| NPI | 1245412352 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | H. Clark Deriso M.D.P.C. |
| NPI issued | Nov 30, 2007 |
| Last updated in NPPES | Dec 6, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 013026 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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