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Deactivated NPI 1487208542 Deactivated / Inactive NPI Male Practitioner

Jacob Longstreth

Emergency Medical Technician, Basic • Alpharetta, 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, Jacob Longstreth has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 27, 2019
NPI Deactivation Date September 22, 2021
Total Practice Duration ~2 Years of Practice (2019 – 2021)

Professional Overview & Biography Verified Profile Summary

Jacob Longstreth was a registered Emergency Medical Technician, Basic practicing in Alpharetta, GA. Throughout an active medical career spanning 2 years, Jacob Longstreth provided care at the practice location at 225 CRABAPPLE CHASE CT until profile deactivation on 2021-09-22.

Practice Location & Contact Primary Location

Practice Address

225 Crabapple Chase Ct

Alpharetta, GA 300046311

Telephone 8282757284

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medical Technician, Basic in Alpharetta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Alpharetta, GA (79 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

Emergency Medical Technician, Basic Primary Specialty

NUCC Taxonomy Code: 146N00000X

State License GA E026403

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

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 September 22, 2021

Record deactivated on September 22, 2021

NPI Profile Active July 27, 2019

NPI status registered as active in NPPES database

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Updated Practice Location July 27, 2019

Registered at 225 CRABAPPLE CHASE CT, ALPHARETTA, GA 300046311 (Tel: 8282757284)

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Updated Business Mailing Address July 27, 2019

Registered at 225 CRABAPPLE CHASE CT, ALPHARETTA, GA 300046311 (Tel: 8282757284)

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Provider Name / Credentials Updated July 27, 2019

Recorded as JACOB LONGSTRETH

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2019

Emergency Medical Technician, Basic (License #E026403 in GA)

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Initial NPI Registration & Enumeration July 27, 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: 1487208542
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2019
Last Update: July 27, 2019
Deactivation Date: September 22, 2021

Mailing Address

225 Crabapple Chase Ct

Alpharetta, GA 300046311

Phone: 8282757284

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.