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Deactivated NPI 1134764491 Deactivated / Inactive NPI Male Practitioner

Derick Deshun Frazier

Speech-Language Pathologist • Duluth, GA

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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, Derick Frazier has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 11, 2019
NPI Deactivation Date March 20, 2024
Total Practice Duration ~5 Years of Practice (2019 – 2024)

Professional Overview & Biography Verified Profile Summary

Derick Frazier was a registered Speech-Language Pathologist practicing in Duluth, GA. Throughout an active medical career spanning 5 years, Derick Frazier provided care at the practice location at 4500 SATELLITE BLVD STE 2250 until profile deactivation on 2024-03-20.

Practice Location & Contact Primary Location

Practice Address

4500 Satellite Blvd Ste 2250

Duluth, GA 300965047

Telephone 8883810822

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Duluth, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
64 Specialists

Practicing in Duluth, GA (4796 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Brittany Janowski

Speech-Language Pathologist

NPI 1477112902

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 March 20, 2024

Record deactivated on March 20, 2024

NPI Profile Active November 11, 2019

NPI status registered as active in NPPES database

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Updated Practice Location November 11, 2019

Registered at 4500 SATELLITE BLVD STE 2250, DULUTH, GA 300965047 (Tel: 8883810822)

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Updated Business Mailing Address November 11, 2019

Registered at 4500 SATELLITE BLVD STE 2250, DULUTH, GA 300965047

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Provider Name / Credentials Updated November 11, 2019

Recorded as DERICK FRAZIER

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2019

Speech-Language Pathologist

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Initial NPI Registration & Enumeration November 11, 2019

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: 1134764491
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2019
Last Update: November 11, 2019
Deactivation Date: March 20, 2024

Mailing Address

4500 Satellite Blvd Ste 2250

Duluth, GA 300965047

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.