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Deactivated NPI 1942346507 Deactivated / Inactive NPI Male Practitioner

John Edward Brodie , PA-C

Physician Assistant • Ft. Gordon, 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, John Brodie has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 30, 2007
NPI Deactivation Date May 15, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

John Brodie, PA-C was a registered Physician Assistant practicing in Ft. Gordon, GA. Throughout an active medical career spanning 18 years, John Brodie provided care at the practice location at 128 N HOSPITAL RD until profile deactivation on 2025-05-15.

Practice Location & Contact Primary Location

Practice Address

128 N Hospital Rd
Ct Surgery, 2nd Fl Cardiology

Ft. Gordon, GA 30905

Telephone 7067879231

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ft. Gordon, GA

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

Practicing in Ft. Gordon, 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

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.

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 May 15, 2025

Record deactivated on May 15, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 128 N HOSPITAL RD, CT SURGERY, 2ND FL CARDIOLOGY, FT. GORDON, GA 30905 (Tel: 7067879231)

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Updated Business Mailing Address July 08, 2007

Registered at 3630 POINT COMFORT CLUB RD, MARTINEZ, GA 309079093 (Tel: 7068686015)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN BRODIE, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant

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Initial NPI Registration & Enumeration January 30, 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: 1942346507
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2007
Last Update: July 08, 2007
Deactivation Date: May 15, 2025

Mailing Address

3630 Point Comfort Club Rd

Martinez, GA 309079093

Phone: 7068686015

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.