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Deactivated NPI 1720262447 Deactivated / Inactive NPI Male Practitioner

Dr. Edwin Jay Macon , MD

Internal Medicine • Flovilla, 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. Edwin Macon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 18, 2007
NPI Deactivation Date January 31, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Macon, MD was a registered Internal Medicine practicing in Flovilla, GA. Throughout an active medical career spanning 15 years, Dr. Macon provided care at the practice location at 301 MCCOY RD until profile deactivation on 2022-01-31.

Practice Location & Contact Primary Location

Practice Address

301 Mccoy Rd

Flovilla, GA 302162112

Telephone 7707756854

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Flovilla, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Flovilla, GA (4065 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

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 011603

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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 January 31, 2022

Record deactivated on January 31, 2022

NPI Profile Active December 18, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 18, 2007

Registered at 301 MCCOY RD, FLOVILLA, GA 302162112 (Tel: 7707756854)

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Updated Business Mailing Address December 18, 2007

Registered at 301 MCCOY RD, FLOVILLA, GA 302162112 (Tel: 7707756854)

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Provider Name / Credentials Updated December 18, 2007

Recorded as EDWIN MACON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2007

Internal Medicine (License #011603 in GA)

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Initial NPI Registration & Enumeration December 18, 2007

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: 1720262447
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2007
Last Update: December 18, 2007
Deactivation Date: January 31, 2022

Mailing Address

301 Mccoy Rd

Flovilla, GA 302162112

Phone: 7707756854

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.