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Deactivated NPI 1467519116 Deactivated / Inactive NPI Male Practitioner

Jack Dial , PA

Physician Assistant • Panama City, 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, Jack Dial has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 02, 2007
NPI Deactivation Date November 08, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Jack Dial, PA was a registered Physician Assistant practicing in Panama City, FL. Throughout an active medical career spanning 17 years, Jack Dial provided care at the practice location at 204 E 19TH ST until profile deactivation on 2024-11-08.

Practice Location & Contact Primary Location

Practice Address

204 E 19th St

Panama City, FL 324054707

Telephone 8507842105
Fax 8505229453
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Panama City, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
65 Specialists

Practicing in Panama City, FL (10376 Statewide)

Telehealth Adoption Rate
7.7% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1093744310

Doctor of Medicine (M.D.)

Thomas Stewart , PA

Physician Assistant

NPI 1528192127

Physician Assistant

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 08, 2024

Record deactivated on November 08, 2024

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 204 E 19TH ST, PANAMA CITY, FL 324054707 (Tel: 8507842105)

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Updated Business Mailing Address July 08, 2007

Registered at 204 E 19TH ST, PANAMA CITY, FL 324054707 (Tel: 8507842105)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACK DIAL, PA

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

Physician Assistant

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Initial NPI Registration & Enumeration January 02, 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: 1467519116
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2007
Last Update: July 08, 2007
Deactivation Date: November 08, 2024

Mailing Address

204 E 19th St

Panama City, FL 324054707

Phone: 8507842105

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.