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NPISignal

Individual Healthcare Provider

Gary Derusso, MD

NPI Record: ActiveInternal Medicine — Hospice and Palliative Medicine
NPI1548657398
Austell, Georgia

Provider's NPPES record last updated: September 26, 2019

Overview

Entity Type
Individual Healthcare Provider
NPI
1548657398
Primary Specialty
Internal Medicine — Hospice and Palliative Medicine
Practice Location
Austell, Georgia
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 2:44 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Internal Medicine

    Hospice and Palliative Medicine

    Allopathic & Osteopathic Physicians

    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 to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

    Taxonomy code 207RH0002X

Provider-Reported License Information

Internal Medicine (Georgia)
83581
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

3950 Austell Rd

Austell, Georgia 30106

Phone: (770) 732-3585

Additional Practice Location

1250 E Marshall St

Richmond, Virginia 23298

Phone: (804) 828-5094

Additional Practice Location

1250 E Marshall St

Richmond, Virginia 23298

Phone: (804) 828-5094

Additional Practice Location

Dept of Medicine Hsc Level 16

Stony Brook Hospital

Stony Brook, New York 11794-0001

Phone: (631) 444-2058

Fax: (631) 444-2493

Record Information

Enumeration Date
April 20, 2015
Provider's NPPES Record Last Updated
September 26, 2019
NPISignal NPPES Dataset
August 2026

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