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Deactivated NPI 1417963281 Deactivated / Inactive NPI Male Practitioner

Micah D. Spaulding , NP

Nurse Practitioner • Rome, 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, Micah Spaulding has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 31, 2006
NPI Deactivation Date January 18, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Micah Spaulding, NP was a registered Nurse Practitioner practicing in Rome, GA. Throughout an active medical career spanning 17 years, Micah Spaulding provided care at the practice location at 304 TURNER MCCALL BLVD SW until profile deactivation on 2023-01-18.

Historical Medicare Part B clinical services included emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

304 Turner Mccall Blvd Sw

Rome, GA 301655621

Telephone 7065096122
Fax 7065094608
Associated Practice Facility / Clinic
🏢 24 On Physicians, P.c. Facility NPI 1912956251

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Rome, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
147 Specialists

Practicing in Rome, GA (3149 Statewide)

Telehealth Adoption Rate
12.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
89.5% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
142 137 $1400.00 $148.27
99284 Emergency department visit with moderate level of medical decision making
72 72 $935.00 $102.61
99283 Emergency department visit with low level of medical decision making
26 26 $645.00 $60.74

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA 096054

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

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

18 Associated Practitioners
Dr. Peter Ankrom , DO

Emergency Medicine

NPI 1013930478

Doctor of Osteopathic Medicine (D.O.)

Danny Rogers , PA

Physician Assistant

NPI 1083882211

Physician Assistant

Dr. John Hardwell , MD

Emergency Medicine

NPI 1093729485

Doctor of Medicine (M.D.)

Traci Tillery , FNP

Nurse Practitioner

NPI 1093825010

Family Nurse Practitioner

William Garner , NP

Nurse Practitioner - Family

NPI 1134133648

Nurse Practitioner

Dr. Horace Cline , MD

Family Medicine

NPI 1154345353

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated January 18, 2023

Record deactivated on January 18, 2023

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 304 TURNER MCCALL BLVD SW, ROME, GA 301655621 (Tel: 7065096122)

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Updated Business Mailing Address July 09, 2007

Registered at 420 E 2ND AVE, SUITE 103, ROME, GA 301613224 (Tel: 7065093278)

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Provider Name / Credentials Updated July 09, 2007

Recorded as MICAH SPAULDING, N.P.

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

Nurse Practitioner (License #096054 in GA)

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Initial NPI Registration & Enumeration July 31, 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: 1417963281
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: July 09, 2007
Deactivation Date: January 18, 2023

Mailing Address

420 E 2nd Ave, Suite 103

Rome, GA 301613224

Phone: 7065093278

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.