Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1104240589 Deactivated / Inactive NPI Male Practitioner

Laray Carter

Driver • South Bend, IN

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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, Laray Carter has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 06, 2014
NPI Deactivation Date January 31, 2024
Total Practice Duration ~10 Years of Practice (2014 – 2024)

Professional Overview & Biography Verified Profile Summary

Laray Carter was a registered Driver practicing in South Bend, IN. Throughout an active medical career spanning 10 years, Laray Carter provided care at the practice location at 1727 STOCKER PL until profile deactivation on 2024-01-31.

Practice Location & Contact Primary Location

Practice Address

1727 Stocker Pl

South Bend, IN 466283253

Telephone 5743100677
Fax 8668329568

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in South Bend, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in South Bend, IN (139 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

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

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 31, 2024

Record deactivated on January 31, 2024

NPI Profile Active February 06, 2014

NPI status registered as active in NPPES database

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Updated Practice Location February 06, 2014

Registered at 1727 STOCKER PL, SOUTH BEND, IN 466283253 (Tel: 5743100677)

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Updated Business Mailing Address February 06, 2014

Registered at 1727 STOCKER PL, SOUTH BEND, IN 466283253 (Tel: 5743100677)

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Provider Name / Credentials Updated February 06, 2014

Recorded as LARAY CARTER

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2014

Driver

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Initial NPI Registration & Enumeration February 06, 2014

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: 1104240589
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2014
Last Update: February 06, 2014
Deactivation Date: January 31, 2024

Mailing Address

1727 Stocker Pl

South Bend, IN 466283253

Phone: 5743100677

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.