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Deactivated NPI 1033456116 Deactivated / Inactive NPI Female Practitioner

Deedra Waters Bennett

Pharmacist • Athens, 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, Deedra Bennett has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 10, 2013
NPI Deactivation Date March 09, 2018
Total Practice Duration ~5 Years of Practice (2013 – 2018)

Professional Overview & Biography Verified Profile Summary

Deedra Bennett was a registered Pharmacist practicing in Athens, GA. Throughout an active medical career spanning 5 years, Deedra Bennett provided care at the practice location at 3620 ATLANTA HWY until profile deactivation on 2018-03-09.

Practice Location & Contact Primary Location

Practice Address

3620 Atlanta Hwy

Athens, GA 306067219

Telephone 7062083706
Fax 7063161244
Associated Practice Facility / Clinic
🏢 Publix Super Markets Inc Facility NPI 1427097484

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Athens, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
134 Specialists

Practicing in Athens, GA (8508 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA RPH020811

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1437648763

Doctor of Pharmacy (Pharm.D.)

NPI 1497359624

Doctor of Pharmacy (Pharm.D.)

NPI 1588902688

Registered Pharmacist

NPI 1679811764

Doctor of Pharmacy (Pharm.D.)

NPI 1699012666

Doctor of Pharmacy (Pharm.D.)

NPI 1982335410

Doctor of Pharmacy (Pharm.D.)

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 09, 2018

Record deactivated on March 09, 2018

NPI Profile Active January 10, 2013

NPI status registered as active in NPPES database

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Updated Practice Location January 10, 2013

Registered at 3620 ATLANTA HWY, ATHENS, GA 306067219 (Tel: 7062083706)

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Updated Business Mailing Address January 10, 2013

Registered at 3620 ATLANTA HWY, ATHENS, GA 306067219 (Tel: 7062083706)

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Provider Name / Credentials Updated January 10, 2013

Recorded as DEEDRA BENNETT

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2013

Pharmacist (License #RPH020811 in GA)

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Initial NPI Registration & Enumeration January 10, 2013

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: 1033456116
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2013
Last Update: January 10, 2013
Deactivation Date: March 09, 2018

Mailing Address

3620 Atlanta Hwy

Athens, GA 306067219

Phone: 7062083706

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.