Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1205166196 Deactivated / Inactive NPI Male Practitioner

Dr. William A. Trevejo , MD

General Practice • Thomasville, 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 Trevejo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 28, 2009
NPI Deactivation Date August 26, 2019
Total Practice Duration ~10 Years of Practice (2009 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. William Trevejo, MD was a registered General Practice practicing in Thomasville, GA. Throughout an active medical career spanning 10 years, Dr. Trevejo provided care at the practice location at 400 S PINETREE BLVD until profile deactivation on 2019-08-26.

Practice Location & Contact Primary Location

Practice Address

400 S Pinetree Blvd
Patient Billing Dept

Thomasville, GA 317927128

Telephone 2292272977
Fax 2292272955
Associated Practice Facility / Clinic
🏢 Southwestern State Hospital Facility NPI 1386637510

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Thomasville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Thomasville, GA (369 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License GA 11727

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

11 Associated Practitioners
NPI 1083750129

Doctor of Medicine (M.D.)

Dr. Pamela Carter , MD

Psychiatry & Neurology - Psychiatry

NPI 1124004981

Doctor of Medicine (M.D.)

Dr. Daniel Kaeck , PhD

Psychologist - Cognitive & Behavioral

NPI 1194704031

Doctor of Philosophy (Ph.D.)

Dr. Resora Acoba , MD

General Practice

NPI 1194827592

Doctor of Medicine (M.D.)

NPI 1285747022

Doctor of Medicine (M.D.)

Mary Chlopan , RD

Dietitian, Registered

NPI 1427032044

Registered Dietitian

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 26, 2019

Record deactivated on August 26, 2019

NPI Profile Active December 28, 2009

NPI status registered as active in NPPES database

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Updated Practice Location December 28, 2009

Registered at 400 S PINETREE BLVD, PATIENT BILLING DEPT, THOMASVILLE, GA 317927128 (Tel: 2292272977)

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Updated Business Mailing Address December 28, 2009

Registered at PO BOX 1378, PATIENT BILLING DEPT, THOMASVILLE, GA 317991378 (Tel: 2292272977)

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Provider Name / Credentials Updated December 28, 2009

Recorded as WILLIAM TREVEJO, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2009

General Practice (License #11727 in GA)

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Initial NPI Registration & Enumeration December 28, 2009

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: 1205166196
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2009
Last Update: December 28, 2009
Deactivation Date: August 26, 2019

Mailing Address

Po Box 1378, Patient Billing Dept

Thomasville, GA 317991378

Phone: 2292272977

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.