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Deactivated NPI 1851334916 Deactivated / Inactive NPI Female Practitioner

Dr. Connie Smith Mccaa , MD, PhD

Ophthalmology • Jackson, 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, Dr. Connie Mccaa has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 14, 2006
NPI Deactivation Date June 05, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Connie Mccaa, MD, PhD was a registered Ophthalmology practicing in Jackson, MS. Throughout an active medical career spanning 11 years, Dr. Mccaa provided care at the practice location at 971 LAKELAND DR until profile deactivation on 2017-06-05.

Historical Medicare Part B clinical services included established patient complete exam of visual system, new patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

971 Lakeland Dr
Suite 656

Jackson, MS 392164643

Telephone 6019845022
Fax 6019845042
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.8 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
56 Specialists

Practicing in Jackson, MS (182 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.1% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
56 55 $263.00 $113.78
92004 New patient complete exam of visual system
13 13 $324.00 $137.78

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MS 008014

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Ching Chen , MD

Ophthalmology

NPI 1033166756

Doctor of Medicine (M.D.)

Dr. Federico Gonzalez-Fernandez , MD

Pathology - Anatomic Pathology

NPI 1205808342

Doctor of Medicine (M.D.)

Dr. Jay Craddock , MD

Ophthalmology - Glaucoma Specialist

NPI 1477865723

Doctor of Medicine (M.D.)

NPI 1821120072

Doctor of Medicine (M.D.)

NPI 1962631788

Doctor of Medicine (M.D.)

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 05, 2017

Record deactivated on June 05, 2017

NPI Profile Active December 15, 2015

NPI status registered as active in NPPES database

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Updated Practice Location December 15, 2015

Registered at 971 LAKELAND DR, SUITE 656, JACKSON, MS 392164643 (Tel: 6019845022)

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Updated Business Mailing Address December 15, 2015

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019845022)

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Provider Name / Credentials Updated December 15, 2015

Recorded as CONNIE MCCAA, MD, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2015

Ophthalmology (License #008014 in MS)

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Initial NPI Registration & Enumeration June 14, 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: 1851334916
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2006
Last Update: December 15, 2015
Deactivation Date: June 05, 2017

Mailing Address

2500 N State St

Jackson, MS 392164500

Phone: 6019845022

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.