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Deactivated NPI 1417948282 Deactivated / Inactive NPI Male Practitioner

Dr. Robert M Packer , MD

Internal Medicine • Waycross, 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. Robert Packer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 02, 2005
NPI Deactivation Date February 05, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Packer, MD was a registered Internal Medicine practicing in Waycross, GA. Throughout an active medical career spanning 21 years, Dr. Packer provided care at the practice location at 711 KNIGHT AVE until profile deactivation on 2026-02-05.

Historical Medicare Part B clinical services included subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, initial nursing facility visit, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

711 Knight Ave

Waycross, GA 315011943

Telephone 9122839423
Fax 9122838204
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Waycross, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.5 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
14 Specialists

Practicing in Waycross, GA (4065 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
21.2% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
226 101 $112.00 $88.22
99306 Initial nursing facility visit, typically 45 minutes per day
26 23 $205.00 $161.74
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
18 14 $85.00 $66.90

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 18716

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Andrea Deloach , FNP-C

Nurse Practitioner - Family

NPI 1114007044

Family Nurse Practitioner (Certified)

Cullee Richardson , PA-C

Physician Assistant

NPI 1235062837

Physician Assistant (Certified)

Dr. Jill Bryant , MD

Internal Medicine

NPI 1306820741

Doctor of Medicine (M.D.)

Dr. Rhonda Williams , MD

Internal Medicine

NPI 1538143607

Doctor of Medicine (M.D.)

Ronald Jones , PA-C

Physician Assistant - Medical

NPI 1619075884

Physician Assistant (Certified)

Roxy Sheffield , PA

Physician Assistant - Medical

NPI 1831456409

Physician Assistant

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 February 05, 2026

Record deactivated on February 05, 2026

NPI Profile Active April 28, 2016

NPI status registered as active in NPPES database

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Updated Practice Location April 28, 2016

Registered at 711 KNIGHT AVE, WAYCROSS, GA 315011943 (Tel: 9122839423)

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Updated Business Mailing Address April 28, 2016

Registered at 711 KNIGHT AVE, WAYCROSS, GA 315011943 (Tel: 9122839423)

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Provider Name / Credentials Updated April 28, 2016

Recorded as ROBERT PACKER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2016

Internal Medicine (License #18716 in GA)

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Initial NPI Registration & Enumeration November 02, 2005

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: 1417948282
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2005
Last Update: April 28, 2016
Deactivation Date: February 05, 2026

Mailing Address

711 Knight Ave

Waycross, GA 315011943

Phone: 9122839423

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.