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Deactivated NPI 1093733222 Deactivated / Inactive NPI Male Practitioner

Dr. Keith B. Huckaby , MD

Specialist • Thomaston, 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. Keith Huckaby has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 17, 2006
NPI Deactivation Date October 07, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Keith Huckaby, MD was a registered Specialist practicing in Thomaston, GA. Throughout an active medical career spanning 13 years, Dr. Huckaby provided care at the practice location at 519 W MAIN ST until profile deactivation on 2019-10-07.

Historical Medicare Part B clinical services included routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, established patient outpatient office visit, ultrasound of heart with color-depicted blood flow, rate, direction and valve function. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

519 W Main St

Thomaston, GA 302863504

Telephone 7066471752
Fax 7066470339
Associated Practice Facility / Clinic
🏢 Keith B. Huckaby, M.d. Facility NPI 1447389697

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Thomaston, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 55.0 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Thomaston, GA (979 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.2% 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
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
785 562 $27.03 $8.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
172 102 $130.00 $102.18
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
76 75 $205.00 $61.40
99213 Established patient office or other outpatient visit, typically 15 minutes
67 57 $110.00 $69.38
93293 Telephonic rhythm strip evaluation of single, dual, multiple lead or leadless pacemaker system, up to 90 days
44 28 $50.00 $18.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes
43 11 $70.00 $38.14
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
34 33 $600.00 $114.53
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
21 21 $500.00 $111.38
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
16 16 $900.00 $240.57
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
15 15 $700.00 $185.07
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician
15 15 $115.00 $13.94
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician
14 14 $111.64 $20.85
83036 Hemoglobin A1C level
13 11 $35.00 $13.05
G0105 Colorectal cancer screening; colonoscopy on individual at high risk
12 12 $700.00 $184.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $245.00 $157.01

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 27573

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.

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 07, 2019

Record deactivated on October 07, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 519 W MAIN ST, THOMASTON, GA 302863504 (Tel: 7066471752)

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Updated Business Mailing Address July 08, 2007

Registered at 519 W MAIN ST, THOMASTON, GA 302863504 (Tel: 7066471752)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KEITH HUCKABY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #27573 in GA)

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Initial NPI Registration & Enumeration July 17, 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: 1093733222
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: July 08, 2007
Deactivation Date: October 07, 2019

Mailing Address

519 W Main St

Thomaston, GA 302863504

Phone: 7066471752

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.