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Deactivated NPI 1386779577 Deactivated / Inactive NPI Male Practitioner

Dr. August M Petker , DC

Chiropractor • Holly Hill, 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. August Petker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 21, 2007
NPI Deactivation Date June 25, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. August Petker, DC was a registered Chiropractor practicing in Holly Hill, FL. Throughout an active medical career spanning 19 years, Dr. Petker provided care at the practice location at 220 MASON AVE until profile deactivation on 2026-06-25.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

220 Mason Ave

Holly Hill, FL 321175039

Telephone 3862587474
Fax 3862481466
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Holly Hill, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 42.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Holly Hill, FL (7309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
3.4% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
93 13 $40.00 $38.63

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH3034

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 June 25, 2026

Record deactivated on June 25, 2026

NPI Profile Active November 07, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 07, 2011

Registered at 220 MASON AVE, HOLLY HILL, FL 321175039 (Tel: 3862587474)

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Updated Business Mailing Address November 07, 2011

Registered at 220 MASON AVE., HOLLY HILL, FL 32117 (Tel: 3862587474)

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Provider Name / Credentials Updated November 07, 2011

Recorded as AUGUST PETKER, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2011

Chiropractor (License #CH3034 in FL)

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Initial NPI Registration & Enumeration February 21, 2007

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: 1386779577
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2007
Last Update: November 07, 2011
Deactivation Date: June 25, 2026

Mailing Address

220 Mason Ave.

Holly Hill, FL 32117

Phone: 3862587474

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.