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Deactivated NPI 1053588087 Deactivated / Inactive NPI Male Practitioner

Jerry Max Beaver

Pharmacist • Blue Ridge, 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, Jerry Beaver has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 09, 2008
NPI Deactivation Date May 24, 2021
Total Practice Duration ~13 Years of Practice (2008 – 2021)

Professional Overview & Biography Verified Profile Summary

Jerry Beaver was a registered Pharmacist practicing in Blue Ridge, GA. Throughout an active medical career spanning 13 years, Jerry Beaver provided care at the practice location at 114 PROFESSIONAL RD until profile deactivation on 2021-05-24.

Practice Location & Contact Primary Location

Practice Address

114 Professional Rd

Blue Ridge, GA 305136205

Telephone 7066323649
Fax 7066322398
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Blue Ridge, GA

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

Practicing in Blue Ridge, 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 13307

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.

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 May 24, 2021

Record deactivated on May 24, 2021

NPI Profile Active May 09, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 09, 2008

Registered at 114 PROFESSIONAL RD, BLUE RIDGE, GA 305136205 (Tel: 7066323649)

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Updated Business Mailing Address May 09, 2008

Registered at 114 PROFESSIONAL RD, BLUE RIDGE, GA 305136205 (Tel: 7066323649)

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Provider Name / Credentials Updated May 09, 2008

Recorded as JERRY BEAVER

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2008

Pharmacist (License #13307 in GA)

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Initial NPI Registration & Enumeration May 09, 2008

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: 1053588087
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2008
Last Update: May 09, 2008
Deactivation Date: May 24, 2021

Mailing Address

114 Professional Rd

Blue Ridge, GA 305136205

Phone: 7066323649

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.