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Deactivated NPI 1578642815 Deactivated / Inactive NPI Male Practitioner

Dr. Jerry Neil South , DC

Chiropractor • Needles, 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, Dr. Jerry South has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 06, 2006
NPI Deactivation Date July 01, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Jerry South, DC was a registered Chiropractor practicing in Needles, CA. Throughout an active medical career spanning 13 years, Dr. South provided care at the practice location at 1400 NEEDLES HWY until profile deactivation on 2019-07-01.

Practice Location & Contact Primary Location

Practice Address

1400 Needles Hwy
Ste. 105

Needles, CA 923632364

Telephone 7603262711
Fax 7603263201

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Needles, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Needles, CA (12100 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

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CA DC12830

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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 01, 2019

Record deactivated on July 01, 2019

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 1400 NEEDLES HWY, STE. 105, NEEDLES, CA 923632364 (Tel: 7603262711)

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Updated Business Mailing Address July 08, 2007

Registered at 1243 EAST REDFIELD ROAD, GILBERT, AZ 852344877 (Tel: 7603262711)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JERRY SOUTH, DC

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

Chiropractor (License #DC12830 in CA)

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Initial NPI Registration & Enumeration November 06, 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: 1578642815
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2006
Last Update: July 08, 2007
Deactivation Date: July 01, 2019

Mailing Address

1243 East Redfield Road

Gilbert, AZ 852344877

Phone: 7603262711

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.