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Deactivated NPI 1083914055 Deactivated / Inactive NPI Male Practitioner

Randall Allen Warner

Driver • Gray, 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, Randall Warner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 25, 2010
NPI Deactivation Date December 02, 2022
Total Practice Duration ~12 Years of Practice (2010 – 2022)

Professional Overview & Biography Verified Profile Summary

Randall Warner was a registered Driver practicing in Gray, GA. Throughout an active medical career spanning 12 years, Randall Warner provided care at the practice location at 398 TURNERWOODS RD until profile deactivation on 2022-12-02.

Practice Location & Contact Primary Location

Practice Address

398 Turnerwoods Rd

Gray, GA 310325700

Telephone 8885078090
Fax 8664397426
Associated Practice Facility / Clinic
🏢 Special Care Transportation Facility NPI 1396045365

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Gray, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Gray, GA (267 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

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License GA 051553419

A person employed to operate a motor vehicle as a carrier of persons or property.

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 December 02, 2022

Record deactivated on December 02, 2022

NPI Profile Active October 25, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 25, 2010

Registered at 398 TURNERWOODS RD, GRAY, GA 310325700 (Tel: 8885078090)

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Updated Business Mailing Address October 25, 2010

Registered at 398 TURNERWOODS RD, GRAY, GA 310325700 (Tel: 8885078090)

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Provider Name / Credentials Updated October 25, 2010

Recorded as RANDALL WARNER

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2010

Driver (License #051553419 in GA)

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Initial NPI Registration & Enumeration October 25, 2010

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: 1083914055
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2010
Last Update: October 25, 2010
Deactivation Date: December 02, 2022

Mailing Address

398 Turnerwoods Rd

Gray, GA 310325700

Phone: 8885078090

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.