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Deactivated NPI 1952408569 Deactivated / Inactive NPI Male Practitioner

John D Smith

Case Manager/Care Coordinator • Bartow, FL

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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, John Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 19, 2006
NPI Deactivation Date November 17, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

John Smith was a registered Case Manager/Care Coordinator practicing in Bartow, FL. Throughout an active medical career spanning 16 years, John Smith provided care at the practice location at 1239 EAST MAIN ST until profile deactivation on 2022-11-17.

Practice Location & Contact Primary Location

Practice Address

1239 East Main St

Bartow, FL 33830

Telephone 8635190575
Fax 8635190728
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Bartow, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
52 Specialists

Practicing in Bartow, FL (5060 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

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kimberly Mangus

Registered Nurse

NPI 1003213810
Imprice Johnson , RN

Registered Nurse

NPI 1003351800

Registered Nurse

Michelle David

Community Health Worker

NPI 1003382185
Edda Colon Aviles

Case Manager/Care Coordinator

NPI 1003441841
Sherry Ross Williams

Community Health Worker

NPI 1003443979
Jessica Little , LMHC

Counselor - Mental Health

NPI 1013233998

Licensed Mental Health Counselor

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 November 17, 2022

Record deactivated on November 17, 2022

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 1239 EAST MAIN ST, BARTOW, FL 33830 (Tel: 8635190575)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 1559, PEACE RIVER CENTER, BARTOW, FL 338311559 (Tel: 8635190575)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN SMITH

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

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration September 19, 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: 1952408569
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2006
Last Update: July 08, 2007
Deactivation Date: November 17, 2022

Mailing Address

Po Box 1559, Peace River Center

Bartow, FL 338311559

Phone: 8635190575

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.