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Deactivated NPI 1780617001 Deactivated / Inactive NPI Male Practitioner

Kenneth Charles Crofford , ATC

Specialist/Technologist - Athletic Trainer • Ailey, 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, Kenneth Crofford has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 09, 2006
NPI Deactivation Date March 13, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Kenneth Crofford, ATC was a registered Specialist/Technologist - Athletic Trainer practicing in Ailey, GA. Throughout an active medical career spanning 12 years, Kenneth Crofford provided care at the practice location at 208 MONTGOMERY ACRES LN until profile deactivation on 2018-03-13.

Practice Location & Contact Primary Location

Practice Address

208 Montgomery Acres Ln

Ailey, GA 304103153

Telephone 7628221563

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Ailey, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Ailey, GA (1440 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

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License AL 249

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

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 13, 2018

Record deactivated on March 13, 2018

NPI Profile Active October 06, 2015

NPI status registered as active in NPPES database

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Updated Practice Location October 06, 2015

Registered at 208 MONTGOMERY ACRES LN, AILEY, GA 304103153 (Tel: 7628221563)

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Updated Business Mailing Address October 06, 2015

Registered at PO BOX 592, MOUNT VERNON, GA 304450592 (Tel: 7628221563)

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Provider Name / Credentials Updated October 06, 2015

Recorded as KENNETH CROFFORD, ATC

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2015

Specialist/Technologist (License #249 in AL)

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Initial NPI Registration & Enumeration July 09, 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: 1780617001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2006
Last Update: October 06, 2015
Deactivation Date: March 13, 2018

Mailing Address

Po Box 592

Mount Vernon, GA 304450592

Phone: 7628221563

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.