Avery J Small , BA
Contractor • Douglasville, GA
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, Avery Small has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Avery Small, BA was a registered Contractor practicing in Douglasville, GA. Throughout an active medical career spanning 1 years, Avery Small provided care at the practice location at 6137 ZEALAND PL until profile deactivation on 2024-05-01.
Practice Location & Contact Primary Location
6137 Zealand Pl
Douglasville, GA 301359029
Specialty Benchmarks & Practice Insights
Comparative analytics for Contractor in Douglasville, GA
Practicing in Douglasville, GA (727 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 171W00000X
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 01, 2024
NPI status registered as active in NPPES database
Registered at 6137 ZEALAND PL, DOUGLASVILLE, GA 301359029 (Tel: 4047830900)
Registered at 6137 ZEALAND PL, DOUGLASVILLE, GA 301359029 (Tel: 4047830900)
Recorded as AVERY SMALL, BA
Contractor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
6137 Zealand Pl
Douglasville, GA 301359029
Phone: 4047830900
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