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Deactivated NPI 1750034260 Deactivated / Inactive NPI Male Practitioner

Marcus Jermaine Walters

Driver • Milton, 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, Marcus Walters has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 03, 2022
NPI Deactivation Date June 02, 2022
Total Practice Duration ~1 Years of Practice (2022 – 2022)

Professional Overview & Biography Verified Profile Summary

Marcus Walters was a registered Driver practicing in Milton, NC. Throughout an active medical career spanning 1 years, Marcus Walters provided care at the practice location at 963 NC HIGHWAY 57 N until profile deactivation on 2022-06-02.

Practice Location & Contact Primary Location

Practice Address

963 Nc Highway 57 N

Milton, NC 273059496

Telephone 2524210340
Associated Practice Facility / Clinic
🏢 Can I Live Enterprise Llc Facility NPI 1053059279

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Milton, NC

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

Practicing in Milton, NC (243 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 NC 000021611923

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 June 02, 2022

Record deactivated on June 02, 2022

NPI Profile Active February 04, 2022

NPI status registered as active in NPPES database

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Updated Practice Location February 04, 2022

Registered at 963 NC HIGHWAY 57 N, MILTON, NC 273059496 (Tel: 2524210340)

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Updated Business Mailing Address February 04, 2022

Registered at 963 NC HIGHWAY 57 N, MILTON, NC 273059496 (Tel: 2524210340)

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Provider Name / Credentials Updated February 04, 2022

Recorded as MARCUS WALTERS

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2022

Driver (License #000021611923 in NC)

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Initial NPI Registration & Enumeration February 03, 2022

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: 1750034260
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2022
Last Update: February 04, 2022
Deactivation Date: June 02, 2022

Mailing Address

963 Nc Highway 57 N

Milton, NC 273059496

Phone: 2524210340

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.