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Deactivated NPI 1477120095 Deactivated / Inactive NPI Female Practitioner

Kathleen Quick , MS MBM

Specialist/Technologist, Other • Augusta, 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, Kathleen Quick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 10, 2021
NPI Deactivation Date September 13, 2024
Total Practice Duration ~3 Years of Practice (2021 – 2024)

Professional Overview & Biography Verified Profile Summary

Kathleen Quick, MS MBM was a registered Specialist/Technologist, Other practicing in Augusta, GA. Throughout an active medical career spanning 3 years, Kathleen Quick provided care at the practice location at 5350 BULL ST until profile deactivation on 2024-09-13.

Practice Location & Contact Primary Location

Practice Address

5350 Bull St

Augusta, GA 309099181

Telephone 8048693508

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist, Other in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Augusta, GA (69 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, Other Primary Specialty

NUCC Taxonomy Code: 246Z00000X

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated September 13, 2024

Record deactivated on September 13, 2024

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NPI Profile Deactivated September 12, 2024

Record deactivated on September 12, 2024

NPI Profile Active June 10, 2021

NPI status registered as active in NPPES database

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Updated Practice Location June 10, 2021

Registered at 5350 BULL ST, AUGUSTA, GA 309099181 (Tel: 8048693508)

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Updated Business Mailing Address June 10, 2021

Registered at 5350 BULL ST, AUGUSTA, GA 309099181 (Tel: 8048693508)

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Provider Name / Credentials Updated June 10, 2021

Recorded as KATHLEEN QUICK, MS MBM

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2021

Specialist/Technologist, Other

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Initial NPI Registration & Enumeration June 10, 2021

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: 1477120095
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2021
Last Update: June 10, 2021
Deactivation Date: September 13, 2024

Mailing Address

5350 Bull St

Augusta, GA 309099181

Phone: 8048693508

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.