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Deactivated NPI 1861769861 Deactivated / Inactive NPI Male Practitioner

Dr. Jerry B. Daniel , PhD

Counselor - School • Rentz, 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. Jerry Daniel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 19, 2011
NPI Deactivation Date January 01, 2026
Total Practice Duration ~15 Years of Practice (2011 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Daniel, PhD was a registered Counselor - School practicing in Rentz, GA. Throughout an active medical career spanning 15 years, Dr. Daniel provided care at the practice location at 1395 DAVID MULLIS RD until profile deactivation on 2026-01-01.

Practice Location & Contact Primary Location

Practice Address

1395 David Mullis Rd

Rentz, GA 310753219

Telephone 4789982824
Fax 4789841609

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - School in Rentz, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Rentz, GA (69 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

Counselor - School Primary Specialty

NUCC Taxonomy Code: 101YS0200X

State License GA 328554

Definition to come...

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 January 01, 2026

Record deactivated on January 01, 2026

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NPI Profile Active November 19, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 19, 2011

Registered at 1395 DAVID MULLIS RD, RENTZ, GA 310753219 (Tel: 4789982824)

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Updated Business Mailing Address November 19, 2011

Registered at 1395 DAVID MULLIS RD, RENTZ, GA 310753219 (Tel: 4789841979)

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Provider Name / Credentials Updated November 19, 2011

Recorded as JERRY DANIEL, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2011

Counselor (License #328554 in GA)

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Initial NPI Registration & Enumeration November 19, 2011

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: 1861769861
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2011
Last Update: November 19, 2011
Deactivation Date: January 01, 2026
Update or Correct Profile

Mailing Address

1395 David Mullis Rd

Rentz, GA 310753219

Phone: 4789841979

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.