Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derok S Cornwell, PA

Individual provider Surgical Physician Assistant · NPI 1174591366

Derok S Cornwell, PA is a Surgical Physician Assistant in Gadsden, Alabama. Licensed in Alabama. Registered with an NPI since 2006.

Licensed in
AL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

100 Medical Center Dr Ste 101
Gadsden, AL 35903-1130
Phone: (256) 492-8590
Fax: (256) 492-4498
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (AL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA- 885 (AL)

Record details

NPI number1174591366
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESOctober 24, 2016

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