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Deactivated NPI 1750814448 Deactivated / Inactive NPI Male Practitioner

Fredrick Coleman

Peer Specialist • Flint, MI

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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, Fredrick Coleman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 10, 2017
NPI Deactivation Date June 21, 2021
Total Practice Duration ~4 Years of Practice (2017 – 2021)

Professional Overview & Biography Verified Profile Summary

Fredrick Coleman was a registered Peer Specialist practicing in Flint, MI. Throughout an active medical career spanning 4 years, Fredrick Coleman provided care at the practice location at 422 W 4TH AVE until profile deactivation on 2021-06-21.

Practice Location & Contact Primary Location

Practice Address

422 W 4th Ave

Flint, MI 485032404

Telephone 8104965777
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Flint, MI

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

Practicing in Flint, MI (1765 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

22 Associated Practitioners
Milton Carroll

Community Health Worker

NPI 1043732845
Breanne Morris

Community Health Worker

NPI 1083564496
Dr. David Pyatt , MD

Family Medicine

NPI 1083660641

Doctor of Medicine (M.D.)

Austin Schmidt

Community Health Worker

NPI 1104348416
Shelley Hughes

Nurse Practitioner - Psychiatric/Mental Health

NPI 1124899695
Felecia Wall

Community Health Worker

NPI 1295228849

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 June 21, 2021

Record deactivated on June 21, 2021

NPI Profile Active April 10, 2017

NPI status registered as active in NPPES database

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Updated Practice Location April 10, 2017

Registered at 422 W 4TH AVE, FLINT, MI 485032404 (Tel: 8104965777)

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Updated Business Mailing Address April 10, 2017

Registered at 422 W 4TH AVE, FLINT, MI 485032404 (Tel: 8104965777)

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Provider Name / Credentials Updated April 10, 2017

Recorded as FREDRICK COLEMAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2017

Peer Specialist

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Initial NPI Registration & Enumeration April 10, 2017

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: 1750814448
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2017
Last Update: April 10, 2017
Deactivation Date: June 21, 2021

Mailing Address

422 W 4th Ave

Flint, MI 485032404

Phone: 8104965777

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.