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Deactivated NPI 1619093564 Deactivated / Inactive NPI Male Practitioner

John William Landrum

Counselor - Professional • Chickamauga, 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, John Landrum has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 22, 2007
NPI Deactivation Date April 23, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

John Landrum was a registered Counselor - Professional practicing in Chickamauga, GA. Throughout an active medical career spanning 19 years, John Landrum provided care at the practice location at 107 ALEX DR until profile deactivation on 2026-04-23.

Historical Medicare Part B clinical services included psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

107 Alex Dr

Chickamauga, GA 307074154

Telephone 7065392228
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Chickamauga, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Chickamauga, GA (6655 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90791 Psychiatric diagnostic evaluation
14 14 $250.00 $107.73
90791 Psychiatric diagnostic evaluation
12 12 $250.00 $101.21

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC004318

Definition to come...

Practice Associates & Co-Workers

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

1 Associated Practitioners
Barry Godfrey , LPC

Counselor - Professional

NPI 1609017433

Licensed Professional Counselor

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 April 23, 2026

Record deactivated on April 23, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 107 ALEX DR, CHICKAMAUGA, GA 307074154 (Tel: 7065392228)

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Updated Business Mailing Address July 08, 2007

Registered at 5217 CHERYL LN # B, CHATTANOOGA, TN 374151833 (Tel: 4238774178)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN LANDRUM

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #LPC004318 in GA)

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Initial NPI Registration & Enumeration March 22, 2007

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: 1619093564
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2007
Last Update: July 08, 2007
Deactivation Date: April 23, 2026

Mailing Address

5217 Cheryl Ln # B

Chattanooga, TN 374151833

Phone: 4238774178

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.