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Deactivated NPI 1629032974 Deactivated / Inactive NPI Male Practitioner

Dr. Jerry L Waikins , MD

General Practice • Daytona Beach, 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, Dr. Jerry Waikins has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 13, 2006
NPI Deactivation Date January 30, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Waikins, MD was a registered General Practice practicing in Daytona Beach, FL. Throughout an active medical career spanning 19 years, Dr. Waikins provided care at the practice location at 551 NATIONAL HEALTH CARE DR until profile deactivation on 2025-01-30.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

551 National Health Care Dr

Daytona Beach, FL 321141495

Telephone 3862525273
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.3 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
19 Specialists

Practicing in Daytona Beach, FL (2490 Statewide)

Telehealth Adoption Rate
15.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
11 11 $272.18 $87.81

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME19703

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

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003928359

Registered Pharmacist

NPI 1013484260

Doctor of Optometry

Dr. Frederick Meyer , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1033354170

Doctor of Pharmacy (Pharm.D.)

Jean Hoeg , RN

Registered Nurse - Ambulatory Care

NPI 1043664220

Registered Nurse

NPI 1053308023

Registered Pharmacist

Mary Waikins , LCSW

Social Worker - Clinical

NPI 1053690594

Licensed Clinical Social Worker

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated January 30, 2025

Record deactivated on January 30, 2025

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Updated Practice Location January 23, 2020

Registered at 120 CYPRESS EDGE DR STE 102, PALM COAST, FL 321648454

NPI Profile Active August 16, 2011

NPI status registered as active in NPPES database

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Updated Practice Location August 16, 2011

Registered at 551 NATIONAL HEALTH CARE DR, DAYTONA BEACH, FL 321141495 (Tel: 3862525273)

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Updated Business Mailing Address August 16, 2011

Registered at 117 MEADOWBROOK CIR, DAYTONA BEACH, FL 321141164 (Tel: 3864923243)

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Provider Name / Credentials Updated August 16, 2011

Recorded as JERRY WAIKINS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2011

General Practice (License #ME19703 in FL)

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Initial NPI Registration & Enumeration April 13, 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: 1629032974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2006
Last Update: August 16, 2011
Deactivation Date: January 30, 2025

Mailing Address

117 Meadowbrook Cir

Daytona Beach, FL 321141164

Phone: 3864923243

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.