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Deactivated NPI 1730126194 Deactivated / Inactive NPI Male Practitioner

Dr. Concordio F Ursal , MD

Surgery • Douglas, 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. Concordio Ursal has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 02, 2006
NPI Deactivation Date October 02, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Concordio Ursal, MD was a registered Surgery practicing in Douglas, GA. Throughout an active medical career spanning 19 years, Dr. Ursal provided care at the practice location at 2106 OCILLA RD until profile deactivation on 2025-10-02.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2106 Ocilla Rd

Douglas, GA 31533

Telephone 9123844010
Fax 9123836365
Associated Practice Facility / Clinic
🏢 Ich Physician Group Facility NPI 1023418928

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Douglas, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.5 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Douglas, GA (1046 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
34 15 $120.00 $42.90
99213 Established patient office or other outpatient visit, typically 15 minutes
19 14 $170.00 $71.28

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 019352

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Marshall Tanner , MD

Internal Medicine

NPI 1326031865

Doctor of Medicine (M.D.)

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 02, 2025

Record deactivated on October 02, 2025

NPI Profile Active September 28, 2009

NPI status registered as active in NPPES database

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Updated Practice Location September 28, 2009

Registered at 2106 OCILLA RD, DOUGLAS, GA 31533 (Tel: 9123844010)

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Updated Business Mailing Address September 28, 2009

Registered at 202 SOUTH CHERRY STREET, OCILLA, GA 31774 (Tel: 2294685015)

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Provider Name / Credentials Updated September 28, 2009

Recorded as CONCORDIO URSAL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2009

Surgery (License #019352 in GA)

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Initial NPI Registration & Enumeration June 02, 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: 1730126194
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2006
Last Update: September 28, 2009
Deactivation Date: October 02, 2025

Mailing Address

202 South Cherry Street

Ocilla, GA 31774

Phone: 2294685015

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.