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Deactivated NPI 1225310790 Deactivated / Inactive NPI Male Practitioner

Dr. Barry Cline Weaver , DMD

Dentist - General Practice • Columbus, 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, Dr. Barry Weaver has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 12, 2011
NPI Deactivation Date February 03, 2022
Total Practice Duration ~11 Years of Practice (2011 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Barry Weaver, DMD was a registered Dentist - General Practice practicing in Columbus, GA. Throughout an active medical career spanning 11 years, Dr. Weaver provided care at the practice location at 4519 WOODRUFF RD until profile deactivation on 2022-02-03.

Practice Location & Contact Primary Location

Practice Address

4519 Woodruff Rd
#10

Columbus, GA 319046011

Telephone 7066608001
Fax 7066608002
Associated Practice Facility / Clinic
🏢 Brenda's House Llc Facility NPI 1225997091

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Columbus, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
66 Specialists

Practicing in Columbus, GA (3302 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA 7674

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Hazel Haynes , DMD

Dentist - General Practice

NPI 1518986942

Doctor of Dental Medicine

Dr. Yeonjoo Kim , DMD

Dentist - General Practice

NPI 1619201316

Doctor of Dental Medicine

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 February 03, 2022

Record deactivated on February 03, 2022

NPI Profile Active September 12, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 12, 2011

Registered at 4519 WOODRUFF RD, #10, COLUMBUS, GA 319046011 (Tel: 7066608001)

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Updated Business Mailing Address September 12, 2011

Registered at 20 BATEAU RD, HILTON HEAD, SC 299283012 (Tel: 8436819255)

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Provider Name / Credentials Updated September 12, 2011

Recorded as BARRY WEAVER, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2011

Dentist (License #7674 in GA)

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Initial NPI Registration & Enumeration September 12, 2011

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: 1225310790
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2011
Last Update: September 12, 2011
Deactivation Date: February 03, 2022

Mailing Address

20 Bateau Rd

Hilton Head, SC 299283012

Phone: 8436819255

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.