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Deactivated NPI 1073126876 Deactivated / Inactive NPI Female Practitioner

Deandra Shareese Rucker

Speech-Language Pathologist • Dacula, 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, Deandra Rucker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2020
NPI Deactivation Date April 05, 2021
Total Practice Duration ~1 Years of Practice (2020 – 2021)

Professional Overview & Biography Verified Profile Summary

Deandra Rucker was a registered Speech-Language Pathologist practicing in Dacula, GA. Throughout an active medical career spanning 1 years, Deandra Rucker provided care at the practice location at 2089 TERON TRCE STE 120 until profile deactivation on 2021-04-05.

Practice Location & Contact Primary Location

Practice Address

2089 Teron Trce Ste 120

Dacula, GA 300191609

Telephone 7709046009
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Dacula, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
53 Specialists

Practicing in Dacula, GA (4796 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA PCET003189

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Ashley Moates

Speech-Language Pathologist

NPI 1003429994
Vicky Sparks , OTR, L

Occupational Therapist

NPI 1023322104

Occupational Therapist Registered, L

Dr. Katie Bannister , DPT

Physical Therapist

NPI 1053475723

Doctor of Physical Therapy

Amy French , OTR, L

Occupational Therapist

NPI 1053717439

Occupational Therapist Registered, L

Lauren Cochran , MED, CCC-SLP

Speech-Language Pathologist

NPI 1063212876

Master of Education, Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1063392348

Doctor of Occupational Therapy, Occupational Therapist Registered, L

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 05, 2021

Record deactivated on April 05, 2021

NPI Profile Active August 31, 2020

NPI status registered as active in NPPES database

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Updated Practice Location August 31, 2020

Registered at 2089 TERON TRCE STE 120, DACULA, GA 300191609 (Tel: 7709046009)

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Updated Business Mailing Address August 31, 2020

Registered at 2089 TERON TRCE STE 120, DACULA, GA 300191609 (Tel: 7709046009)

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Provider Name / Credentials Updated August 31, 2020

Recorded as DEANDRA RUCKER

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2020

Speech-Language Pathologist (License #PCET003189 in GA)

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Initial NPI Registration & Enumeration August 31, 2020

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: 1073126876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2020
Last Update: August 31, 2020
Deactivation Date: April 05, 2021

Mailing Address

2089 Teron Trce Ste 120

Dacula, GA 300191609

Phone: 7709046009

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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