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Deactivated NPI 1083788459 Deactivated / Inactive NPI Male Practitioner

Douglas Emil Dewitt , LMT

Specialist • Concord, NC

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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, Douglas Dewitt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 20, 2006
NPI Deactivation Date July 05, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Douglas Dewitt, LMT was a registered Specialist practicing in Concord, NC. Throughout an active medical career spanning 16 years, Douglas Dewitt provided care at the practice location at 23 SPRING ST NW until profile deactivation on 2022-07-05.

Practice Location & Contact Primary Location

Practice Address

23 Spring St Nw

Concord, NC 280254707

Telephone 7047884860

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Concord, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
18 Specialists

Practicing in Concord, NC (945 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 370

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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 July 05, 2022

Record deactivated on July 05, 2022

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 23 SPRING ST NW, CONCORD, NC 280254707 (Tel: 7047884860)

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Updated Business Mailing Address July 08, 2007

Registered at 23 SPRING ST NW, CONCORD, NC 280254707 (Tel: 7047884860)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DOUGLAS DEWITT, L.M.T.

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

Specialist (License #370 in NY)

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Initial NPI Registration & Enumeration November 20, 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: 1083788459
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2006
Last Update: July 08, 2007
Deactivation Date: July 05, 2022

Mailing Address

23 Spring St Nw

Concord, NC 280254707

Phone: 7047884860

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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