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Deactivated NPI 1619677531 Deactivated / Inactive NPI Female Practitioner

Beverly Douglas

Homemaker • Rocky Mount, 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, Beverly Douglas has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 08, 2023
NPI Deactivation Date April 24, 2023
Total Practice Duration ~1 Years of Practice (2023 – 2023)

Professional Overview & Biography Verified Profile Summary

Beverly Douglas was a registered Homemaker practicing in Rocky Mount, NC. Throughout an active medical career spanning 1 years, Beverly Douglas provided care at the practice location at 114 S BUSINESS CT until profile deactivation on 2023-04-24.

Practice Location & Contact Primary Location

Practice Address

114 S Business Ct

Rocky Mount, NC 278046543

Telephone 2522946270
Associated Practice Facility / Clinic
🏢 Automatic Home Care Llc Facility NPI 1912694787

Specialty Benchmarks & Practice Insights

Comparative analytics for Homemaker in Rocky Mount, NC

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

Practicing in Rocky Mount, NC (35 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

Homemaker Primary Specialty

NUCC Taxonomy Code: 376J00000X

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

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 April 24, 2023

Record deactivated on April 24, 2023

NPI Profile Active March 13, 2023

NPI status registered as active in NPPES database

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Updated Practice Location March 13, 2023

Registered at 114 S BUSINESS CT, ROCKY MOUNT, NC 278046543 (Tel: 2522946270)

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Updated Business Mailing Address March 13, 2023

Registered at 114 S BUSINESS CT, ROCKY MOUNT, NC 278046543 (Tel: 2522946270)

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Provider Name / Credentials Updated March 13, 2023

Recorded as BEVERLY DOUGLAS

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2023

Homemaker

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Initial NPI Registration & Enumeration March 08, 2023

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: 1619677531
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2023
Last Update: March 13, 2023
Deactivation Date: April 24, 2023

Mailing Address

114 S Business Ct

Rocky Mount, NC 278046543

Phone: 2522946270

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.