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Deactivated NPI 1811629181 Deactivated / Inactive NPI Female Practitioner

Mechelle Lorraine Fowler , LPN

Licensed Practical Nurse • 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, Mechelle Fowler has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 27, 2022
NPI Deactivation Date December 12, 2022
Total Practice Duration ~1 Years of Practice (2022 – 2022)

Professional Overview & Biography Verified Profile Summary

Mechelle Fowler, LPN was a registered Licensed Practical Nurse practicing in Columbus, GA. Throughout an active medical career spanning 1 years, Mechelle Fowler provided care at the practice location at 5617 PRINCETON AVE until profile deactivation on 2022-12-12.

Practice Location & Contact Primary Location

Practice Address

5617 Princeton Ave

Columbus, GA 319043480

Telephone 7062577722
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Columbus, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
82 Specialists

Practicing in Columbus, GA (1401 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License GA LPN072976

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

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

11 Associated Practitioners
Amanda Hood , MS

Counselor - Addiction (Substance Use Disorder)

NPI 1023794922

Master of Science

Tamara Lee

Counselor

NPI 1275317471
Janice Nixon

Counselor - Professional

NPI 1366691271
Jessica Newhard , COUNSELOR

Counselor - Addiction (Substance Use Disorder)

NPI 1487409306
June Wilson , LPN

Licensed Practical Nurse

NPI 1689420267

Licensed Practical Nurse

Selina Harrison , LPN

Licensed Practical Nurse

NPI 1710644992

Licensed Practical Nurse

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 December 12, 2022

Record deactivated on December 12, 2022

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NPI Profile Deactivated December 10, 2022

Record deactivated on December 10, 2022

NPI Profile Active June 27, 2022

NPI status registered as active in NPPES database

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Updated Practice Location June 27, 2022

Registered at 5617 PRINCETON AVE, COLUMBUS, GA 319043480 (Tel: 7062577722)

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Updated Business Mailing Address June 27, 2022

Registered at 5617 PRINCETON AVE, COLUMBUS, GA 319043480 (Tel: 7062577722)

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Provider Name / Credentials Updated June 27, 2022

Recorded as MECHELLE FOWLER, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2022

Licensed Practical Nurse (License #LPN072976 in GA)

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Initial NPI Registration & Enumeration June 27, 2022

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: 1811629181
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2022
Last Update: June 27, 2022
Deactivation Date: December 12, 2022

Mailing Address

5617 Princeton Ave

Columbus, GA 319043480

Phone: 7062577722

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.