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Deactivated NPI 1518052539 Deactivated / Inactive NPI Male Practitioner

Dr. Jeffries L Blackerby , MD

Pediatrics • Bowling Green, KY

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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. Jeffries Blackerby has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 04, 2006
NPI Deactivation Date August 30, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Jeffries Blackerby, MD was a registered Pediatrics practicing in Bowling Green, KY. Throughout an active medical career spanning 17 years, Dr. Blackerby provided care at the practice location at 1211 ASHLEY CIRCLE until profile deactivation on 2023-08-30.

Practice Location & Contact Primary Location

Practice Address

1211 Ashley Circle

Bowling Green, KY 42104

Telephone 2707828700
Fax 2707828704
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Bowling Green, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.7 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
27 Specialists

Practicing in Bowling Green, KY (910 Statewide)

Telehealth Adoption Rate
7.4% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License KY 12493

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1043279987

Doctor of Medicine (M.D.)

NPI 1134214158

Doctor of Medicine (M.D.)

NPI 1154469625

Doctor of Medicine (M.D.)

NPI 1255426268

Doctor of Medicine (M.D.)

NPI 1336554369

Doctor of Medicine (M.D.)

Makenzie Varner , APRN

Nurse Practitioner - Family

NPI 1407704497

Advanced Practice Registered Nurse

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 30, 2023

Record deactivated on August 30, 2023

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 1211 ASHLEY CIRCLE, BOWLING GREEN, KY 42104 (Tel: 2707828700)

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Updated Business Mailing Address July 08, 2007

Registered at 1211 ASHLEY CIRCLE, BOWLING GREEN, KY 42104 (Tel: 2707828700)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JEFFRIES BLACKERBY, MD

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

Pediatrics (License #12493 in KY)

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Initial NPI Registration & Enumeration October 04, 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: 1518052539
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: July 08, 2007
Deactivation Date: August 30, 2023

Mailing Address

1211 Ashley Circle

Bowling Green, KY 42104

Phone: 2707828700

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.