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Deactivated NPI 1861584500 Deactivated / Inactive NPI Male Practitioner

Jeffrey Keith Carmack , PA

Physician Assistant • Livermore, CA

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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, Jeffrey Carmack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 29, 2006
NPI Deactivation Date December 27, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Jeffrey Carmack, PA was a registered Physician Assistant practicing in Livermore, CA. Throughout an active medical career spanning 17 years, Jeffrey Carmack provided care at the practice location at 87 FENTON ST until profile deactivation on 2023-12-27.

Practice Location & Contact Primary Location

Practice Address

87 Fenton St
Ste 210

Livermore, CA 945504100

Telephone 9253730337
Fax 9253730257
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Livermore, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Livermore, CA (14617 Statewide)

Telehealth Adoption Rate
33.3% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA12549

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. James Blackwell , MD

Internal Medicine

NPI 1255424289

Doctor of Medicine (M.D.)

NPI 1932268976

Doctor of Medicine (M.D.)

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 December 27, 2023

Record deactivated on December 27, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 87 FENTON ST, STE 210, LIVERMORE, CA 945504100 (Tel: 9253730337)

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Updated Business Mailing Address July 08, 2007

Registered at 87 FENTON ST, STE 210, LIVERMORE, CA 945504100 (Tel: 9253730337)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JEFFREY CARMACK, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PA12549 in CA)

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Initial NPI Registration & Enumeration September 29, 2006

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: 1861584500
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2006
Last Update: July 08, 2007
Deactivation Date: December 27, 2023

Mailing Address

87 Fenton St, Ste 210

Livermore, CA 945504100

Phone: 9253730337

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.