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Deactivated NPI 1417393208 Deactivated / Inactive NPI Male Practitioner

Darryl Bentley , BA

Contractor • Macon, 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, Darryl Bentley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 20, 2013
NPI Deactivation Date August 23, 2021
Total Practice Duration ~8 Years of Practice (2013 – 2021)

Professional Overview & Biography Verified Profile Summary

Darryl Bentley, BA was a registered Contractor practicing in Macon, GA. Throughout an active medical career spanning 8 years, Darryl Bentley provided care at the practice location at 6601 ZEBULON RD until profile deactivation on 2021-08-23.

Practice Location & Contact Primary Location

Practice Address

6601 Zebulon Rd

Macon, GA 312207606

Telephone 4784773383
Fax 4789579492
Associated Practice Facility / Clinic
🏢 Hephzibah Childrens Home Facility NPI 1083054514

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Macon, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Macon, GA (727 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

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Practice Associates & Co-Workers

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

16 Associated Practitioners
Lillie Cunningham , LMFT

Marriage & Family Therapist

NPI 1023359171

Licensed Marriage and Family Therapist

Tavorris White , MS

Counselor - Professional

NPI 1033476668

Master of Science

NPI 1104262989

Bachelor of Science

Ronald Hughley , LCSW

Social Worker - Clinical

NPI 1134491020

Licensed Clinical Social Worker

NPI 1194167346

Bachelor of Science

NPI 1265777916

Bachelor of Science

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 August 23, 2021

Record deactivated on August 23, 2021

NPI Profile Active May 20, 2013

NPI status registered as active in NPPES database

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Updated Practice Location May 20, 2013

Registered at 6601 ZEBULON RD, MACON, GA 312207606 (Tel: 4784773383)

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Updated Business Mailing Address May 20, 2013

Registered at 3000 ARROWHEAD DR, LIZELLA, GA 310523512

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Provider Name / Credentials Updated May 20, 2013

Recorded as DARRYL BENTLEY, BA

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2013

Contractor

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Initial NPI Registration & Enumeration May 20, 2013

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: 1417393208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2013
Last Update: May 20, 2013
Deactivation Date: August 23, 2021

Mailing Address

3000 Arrowhead Dr

Lizella, GA 310523512

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.