Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1710970421 Deactivated / Inactive NPI Male Practitioner

Dr. Leon Waddy , MD

General Practice • Forrest City, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Leon Waddy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 27, 2005
NPI Deactivation Date July 11, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Leon Waddy, MD was a registered General Practice practicing in Forrest City, AR. Throughout an active medical career spanning 12 years, Dr. Waddy provided care at the practice location at 328 KITTLE RD until profile deactivation on 2017-07-11.

Practice Location & Contact Primary Location

Practice Address

328 Kittle Rd

Forrest City, AR 723352960

Telephone 8706330220
Fax 8706330212
Associated Practice Facility / Clinic
🏢 Webber Medical Complex Facility NPI 1043202476

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Forrest City, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Forrest City, AR (111 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License AR R-2830

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 11, 2017

Record deactivated on July 11, 2017

NPI Profile Active August 06, 2013

NPI status registered as active in NPPES database

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Updated Practice Location August 06, 2013

Registered at 328 KITTLE RD, FORREST CITY, AR 723352960 (Tel: 8706330220)

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Updated Business Mailing Address August 06, 2013

Registered at PO BOX 603, MARIANNA, AR 723600603 (Tel: 8702952076)

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Provider Name / Credentials Updated August 06, 2013

Recorded as LEON WADDY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2013

General Practice (License #R-2830 in AR)

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Initial NPI Registration & Enumeration August 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710970421
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2005
Last Update: August 06, 2013
Deactivation Date: July 11, 2017

Mailing Address

Po Box 603

Marianna, AR 723600603

Phone: 8702952076

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.