Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1356721708 Deactivated / Inactive NPI Male Practitioner

Charles Wright

Peer Specialist • Gautier, MS

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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, Charles Wright has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 01, 2015
NPI Deactivation Date April 12, 2019
Total Practice Duration ~4 Years of Practice (2015 – 2019)

Professional Overview & Biography Verified Profile Summary

Charles Wright was a registered Peer Specialist practicing in Gautier, MS. Throughout an active medical career spanning 4 years, Charles Wright provided care at the practice location at 3407 SHAMROCK CT until profile deactivation on 2019-04-12.

Practice Location & Contact Primary Location

Practice Address

3407 Shamrock Ct

Gautier, MS 395535337

Telephone 2284970690
Fax 2284971363
Associated Practice Facility / Clinic
🏢 Singing River Services Facility NPI 1851407829

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Gautier, MS

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

Practicing in Gautier, MS (101 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

40 Associated Practitioners
Peggy Fendley , MED

Counselor - Mental Health

NPI 1003118662

Master of Education

Jodi Carlisle , MS COUNSELING PSYCHO

Counselor - Mental Health

NPI 1003232786

MSCOUNSELINGPSYCHO

Lanesha Joshua , BSW

Case Manager/Care Coordinator

NPI 1003281155

Bachelor of Social Work

Dana Weeks

Case Manager/Care Coordinator

NPI 1003678640
Hilary Pennell , BS

Case Manager/Care Coordinator

NPI 1013157049

Bachelor of Science

Angela Touchet , BS

Case Manager/Care Coordinator

NPI 1013210384

Bachelor of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
⚠️
NPI Profile Deactivated April 12, 2019

Record deactivated on April 12, 2019

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NPI Profile Deactivated April 11, 2019

Record deactivated on April 11, 2019

NPI Profile Active June 01, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2015

Registered at 3407 SHAMROCK CT, GAUTIER, MS 395535337 (Tel: 2284970690)

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Updated Business Mailing Address June 01, 2015

Registered at 3407 SHAMROCK CT, GAUTIER, MS 395535337 (Tel: 2284970690)

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Provider Name / Credentials Updated June 01, 2015

Recorded as CHARLES WRIGHT

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2015

Peer Specialist

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Initial NPI Registration & Enumeration June 01, 2015

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: 1356721708
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2015
Last Update: June 01, 2015
Deactivation Date: April 12, 2019

Mailing Address

3407 Shamrock Ct

Gautier, MS 395535337

Phone: 2284970690

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.