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Deactivated NPI 1568536464 Deactivated / Inactive NPI Male Practitioner

Dr. William Russell Glaccum , DC

Chiropractor • Loganville, 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. William Glaccum has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 20, 2006
NPI Deactivation Date February 06, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. William Glaccum, DC was a registered Chiropractor practicing in Loganville, GA. Throughout an active medical career spanning 11 years, Dr. Glaccum provided care at the practice location at 120 CAMP ST until profile deactivation on 2017-02-06.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 5 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

120 Camp St
Suite A

Loganville, GA 300523222

Telephone 7704663344
Fax 7704660830
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Loganville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.7 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
9 Specialists

Practicing in Loganville, GA (3375 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
0.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98942 Chiropractic manipulative treatment, 5 spinal regions
29 25 $40.00 $39.97

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License GA 1721

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1851921449

Doctor of Chiropractic

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 February 06, 2017

Record deactivated on February 06, 2017

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 120 CAMP ST, SUITE A, LOGANVILLE, GA 300523222 (Tel: 7704663344)

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Updated Business Mailing Address July 09, 2007

Registered at 120 CAMP ST, SUITE A, LOGANVILLE, GA 300523222 (Tel: 7704663344)

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Provider Name / Credentials Updated July 09, 2007

Recorded as WILLIAM GLACCUM, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Chiropractor (License #1721 in GA)

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Initial NPI Registration & Enumeration November 20, 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: 1568536464
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2006
Last Update: July 09, 2007
Deactivation Date: February 06, 2017

Mailing Address

120 Camp St, Suite A

Loganville, GA 300523222

Phone: 7704663344

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.