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Deactivated NPI 1164488102 Deactivated / Inactive NPI Male Practitioner

Dr. David M. Essom , MD

Specialist • Lagrange, 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. David Essom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 26, 2006
NPI Deactivation Date October 25, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. David Essom, MD was a registered Specialist practicing in Lagrange, GA. Throughout an active medical career spanning 11 years, Dr. Essom provided care at the practice location at DAVID ESSOM, M.D. until profile deactivation on 2017-10-25.

Practice Location & Contact Primary Location

Practice Address

David Essom, M.d.
300 Medical Drive, Suite 705

Lagrange, GA 30240

Telephone 7068850111
Fax 7068850607
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Lagrange, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 42.0 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
14 Specialists

Practicing in Lagrange, 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 049981

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

15 Associated Practitioners
NPI 1154521292

Doctor of Psychology (Psy.D.)

NPI 1285603753

Doctor of Medicine (M.D.)

M. Wages , LPC

Counselor - Mental Health

NPI 1306802301

Licensed Professional Counselor

Laura Byard , LPC

Counselor - Professional

NPI 1427233147

Licensed Professional Counselor

Holly Abbott , LPC

Counselor - Professional

NPI 1437514965

Licensed Professional Counselor

James Veillon , LCSW

Counselor - Mental Health

NPI 1528024502

Licensed Clinical Social Worker

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 October 25, 2017

Record deactivated on October 25, 2017

NPI Profile Active December 03, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 03, 2007

Registered at DAVID ESSOM, M.D., 300 MEDICAL DRIVE, SUITE 705, LAGRANGE, GA 30240 (Tel: 7068850111)

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Updated Business Mailing Address December 03, 2007

Registered at DAVID ESSOM, M.D., 300 MEDICAL DRIVE, SUITE 705, LAGRANGE, GA 30240 (Tel: 7068850111)

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Provider Name / Credentials Updated December 03, 2007

Recorded as DAVID ESSOM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2007

Specialist (License #049981 in GA)

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Initial NPI Registration & Enumeration April 26, 2006

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: 1164488102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2006
Last Update: December 03, 2007
Deactivation Date: October 25, 2017

Mailing Address

David Essom, M.d., 300 Medical Drive, Suite 705

Lagrange, GA 30240

Phone: 7068850111

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.