Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1659314391 Deactivated / Inactive NPI Male Practitioner

Dr. John C Otts , MD

Specialist • Dublin, 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, Dr. John Otts has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 13, 2006
NPI Deactivation Date February 08, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. John Otts, MD was a registered Specialist practicing in Dublin, GA. Throughout an active medical career spanning 12 years, Dr. Otts provided care at the practice location at 2400 BELLEVUE RD until profile deactivation on 2018-02-08.

Practice Location & Contact Primary Location

Practice Address

2400 Bellevue Rd
#23 Erin Office Park

Dublin, GA 310212885

Telephone 4782728580
Fax 4782750012
Associated Practice Facility / Clinic
🏢 Dva Renal Healthcare Inc Facility NPI 1043289044

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Dublin, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 52.0 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Dublin, GA (979 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA GA014776

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Tamara Mccullars , NP

Nurse Practitioner

NPI 1023609138

Nurse Practitioner

Charisse Holmes

Nurse Practitioner - Family

NPI 1073084877
NPI 1366482507

Doctor of Medicine (M.D.)

Debra Hall , FNP

Nurse Practitioner - Family

NPI 1578080222

Family Nurse Practitioner

Joy Scarborough , FNP

Nurse Practitioner - Family

NPI 1982740957

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated February 08, 2018

Record deactivated on February 08, 2018

NPI Profile Active July 12, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2010

Registered at 2400 BELLEVUE RD, #23 ERIN OFFICE PARK, DUBLIN, GA 310212885 (Tel: 4782728580)

📍
Updated Business Mailing Address July 12, 2010

Registered at 2400 BELLEVUE ROAD, #23 ERIN OFFICE PARK, DUBLIN, GA 31021 (Tel: 4782728580)

👤
Provider Name / Credentials Updated July 12, 2010

Recorded as JOHN OTTS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2010

Specialist (License #GA014776 in GA)

🟢
Initial NPI Registration & Enumeration June 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. John Otts. Be the first to share your experience!

Sign in to leave a review for Dr. John Otts

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1659314391
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2006
Last Update: July 12, 2010
Deactivation Date: February 08, 2018

Mailing Address

2400 Bellevue Road, #23 Erin Office Park

Dublin, GA 31021

Phone: 4782728580

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.