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Deactivated NPI 1427184977 Deactivated / Inactive NPI Male Practitioner

Johnnie Thomas Pryor

Driver • Clovis, NM

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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, Johnnie Pryor has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 26, 2007
NPI Deactivation Date December 04, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Johnnie Pryor was a registered Driver practicing in Clovis, NM. Throughout an active medical career spanning 13 years, Johnnie Pryor provided care at the practice location at 8005 INDIANA CT APT A until profile deactivation on 2020-12-04.

Practice Location & Contact Primary Location

Practice Address

8005 Indiana Ct Apt A

Clovis, NM 881018898

Telephone 5057491936

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Clovis, NM

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

Practicing in Clovis, NM (17 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

State License NM 03090092-002

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 December 04, 2020

Record deactivated on December 04, 2020

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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 8005 INDIANA CT APT A, CLOVIS, NM 881018898 (Tel: 5057491936)

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Updated Business Mailing Address July 08, 2007

Registered at 8005 INDIANA CT APT A, CLOVIS, NM 881018898 (Tel: 5057491936)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHNNIE PRYOR

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

Driver (License #03090092-002 in NM)

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Initial NPI Registration & Enumeration February 26, 2007

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: 1427184977
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2007
Last Update: July 08, 2007
Deactivation Date: December 04, 2020
Update or Correct Profile

Mailing Address

8005 Indiana Ct Apt A

Clovis, NM 881018898

Phone: 5057491936

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.