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Deactivated NPI 1053357145 Deactivated / Inactive NPI Male Practitioner

Dr. Jack A Williams , DC

Chiropractor • Dalton, 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. Jack Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 20, 2006
NPI Deactivation Date September 26, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Williams, DC was a registered Chiropractor practicing in Dalton, GA. Throughout an active medical career spanning 16 years, Dr. Williams provided care at the practice location at 204 N GLENWOOD AVENUE until profile deactivation on 2022-09-26.

Practice Location & Contact Primary Location

Practice Address

204 N Glenwood Avenue

Dalton, GA 307213011

Telephone 7062783558
Fax 7062268420
Associated Practice Facility / Clinic
🏢 Williams Chiropractic Center Facility NPI 1831314160

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Dalton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.9 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
22 Specialists

Practicing in Dalton, GA (3375 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

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License GA 1319

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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 September 26, 2022

Record deactivated on September 26, 2022

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 204 N GLENWOOD AVENUE, DALTON, GA 307213011 (Tel: 7062783558)

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Updated Business Mailing Address July 08, 2007

Registered at 204 N GLENWOOD AVENUE, DALTON, GA 307213011 (Tel: 7062783558)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACK WILLIAMS, DC

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

Chiropractor (License #1319 in GA)

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Initial NPI Registration & Enumeration June 20, 2006

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: 1053357145
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2006
Last Update: July 08, 2007
Deactivation Date: September 26, 2022

Mailing Address

204 N Glenwood Avenue

Dalton, GA 307213011

Phone: 7062783558

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.