DEREK A. KLEMM D.O., PHARM.D. – NPI #1225300494
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

DEREK KLEMM is a physician located in DEMOREST, GA. NPPES has assigned the NPI number 1225300494 to DEREK KLEMM on February 03, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 3 years ago on Mar 10, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEREK KLEMM below.

NPI Profile for
DEREK A. KLEMM

NPI Number
1225300494
Enumeration Date

(more than 14 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DEREK A. KLEMM
Credentials
D.O., PHARM.D.
Primary location
396 HISTORIC HIGHWAY 441 N
DEMOREST, GA 30535
Phone: (706) 754-4348 Fax: (706) 754-0731
1 Other location(s):
206 2nd St E
Bradenton, FL 34208-1042
Phone: (941) 746-5111
Mailing address
PO BOX 459
COLBERT, GA 30628-0459
Phone: (706) 788-3234 Fax:
Sole Proprietor
No
Updated
Certification Date
Mar 16, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DEREK KLEMM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICAL LICENSEGA080289
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)		 GA 080289
390200000X
- Student in an Organized Health Care Education/Training Program
208D00000X
- General Practice		 FL UO4670
207Q00000X
- Family Medicine		 GA 080289
183500000X
- Pharmacist		 FL PS47555

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE - Graduated 2015
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DEREK KLEMM is affiliated with the following medical group(s):
  • HOSPITAL
    • HABERSHAM COUNTY MEDICAL CTR
      541 HISTORIC HIGHWAY 441-NORTH
      DEMOREST, GA 30535
    • NORTHEAST GEORGIA MEDICAL CENTER, INC
      743 SPRING STREET
      GAINESVILLE, GA 30501
  • HOME HEALTH AGENCY
    • ENHABIT HOME HEALTH
      601 BROAD STREET SE, SUITE F
      GAINESVILLE, GA 30501
    • TUGALOO HOME HEALTH AGENCY, AN AMEDISYS COMPANY
      817 GROGAN ST
      LAVONIA, GA 30553
  • HOSPICE
    • PRUITTHEALTH HOSPICE-GAINESVILLE
      715 QUEEN CITY PARKWAY, SUITE 200
      GAINESVILLE, GA 30501

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.