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Deactivated NPI 1740418904 Deactivated / Inactive NPI Male Practitioner

Claud Conrad Mershon

Specialist • Brunswick, 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, Claud Mershon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 26, 2009
NPI Deactivation Date July 09, 2019
Total Practice Duration ~10 Years of Practice (2009 – 2019)

Professional Overview & Biography Verified Profile Summary

Claud Mershon was a registered Specialist practicing in Brunswick, GA. Throughout an active medical career spanning 10 years, Claud Mershon provided care at the practice location at 6129 NEW JESUP HWY until profile deactivation on 2019-07-09.

Practice Location & Contact Primary Location

Practice Address

6129 New Jesup Hwy

Brunswick, GA 315234201

Telephone 9129961137
Fax 9126340430
Associated Practice Facility / Clinic
🏢 Gateway Behavioral Health Facility NPI 1710380993

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Brunswick, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.5 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
15 Specialists

Practicing in Brunswick, GA (979 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 Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 00926292

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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 July 09, 2019

Record deactivated on July 09, 2019

NPI Profile Active June 26, 2009

NPI status registered as active in NPPES database

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Updated Practice Location June 26, 2009

Registered at 6129 NEW JESUP HWY, BRUNSWICK, GA 315234201 (Tel: 9129961137)

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Updated Business Mailing Address June 26, 2009

Registered at 820 HAMILTON LANDING DR, ST SIMONS ISLAND, GA 315222269 (Tel: 9129961137)

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Provider Name / Credentials Updated June 26, 2009

Recorded as CLAUD MERSHON

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2009

Specialist (License #00926292 in GA)

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Initial NPI Registration & Enumeration June 26, 2009

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: 1740418904
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2009
Last Update: June 26, 2009
Deactivation Date: July 09, 2019

Mailing Address

820 Hamilton Landing Dr

St Simons Island, GA 315222269

Phone: 9129961137

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.