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Deactivated NPI 1891893632 Deactivated / Inactive NPI Male Practitioner

Larry G Bennett , PA

Physician Assistant • Dillard, 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, Larry Bennett has officially deactivated this NPI record and ceased active healthcare practice.

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

Professional Overview & Biography Verified Profile Summary

Larry Bennett, PA was a registered Physician Assistant practicing in Dillard, GA. Throughout an active medical career spanning 16 years, Larry Bennett provided care at the practice location at 92 BETTYS CREEK RD until profile deactivation on 2022-10-26.

Practice Location & Contact Primary Location

Practice Address

92 Bettys Creek Rd

Dillard, GA 305372257

Telephone 7067466571
Fax 7067465643
Associated Practice Facility / Clinic
🏢 Health First Facility NPI 1629279666

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Dillard, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Dillard, GA (4726 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 000608

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Stephen Bloomingdale , DC

Chiropractor - Sports Physician

NPI 1053493999

Doctor of Chiropractic

NPI 1669589594

Doctor of Medicine (M.D.)

NPI 1962584805

Doctor of Chiropractic

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 October 26, 2022

Record deactivated on October 26, 2022

NPI Profile Active October 03, 2012

NPI status registered as active in NPPES database

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Updated Practice Location October 03, 2012

Registered at 92 BETTYS CREEK RD, DILLARD, GA 305372257 (Tel: 7067466571)

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Updated Business Mailing Address October 03, 2012

Registered at PO BOX 444, DILLARD, GA 305370444 (Tel: 7067466571)

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Provider Name / Credentials Updated October 03, 2012

Recorded as LARRY BENNETT, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2012

Physician Assistant (License #000608 in GA)

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Initial NPI Registration & Enumeration September 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: 1891893632
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: October 03, 2012
Deactivation Date: October 26, 2022

Mailing Address

Po Box 444

Dillard, GA 305370444

Phone: 7067466571

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.