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Deactivated NPI 1770195323 Deactivated / Inactive NPI Male Practitioner

Jack Cameron

Case Manager/Care Coordinator • Canton, OH

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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, Jack Cameron has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 17, 2020
NPI Deactivation Date July 24, 2025
Total Practice Duration ~5 Years of Practice (2020 – 2025)

Professional Overview & Biography Verified Profile Summary

Jack Cameron was a registered Case Manager/Care Coordinator practicing in Canton, OH. Throughout an active medical career spanning 5 years, Jack Cameron provided care at the practice location at 624 MARKET AVE N until profile deactivation on 2025-07-24.

Practice Location & Contact Primary Location

Practice Address

624 Market Ave N

Canton, OH 447021017

Telephone 3304934553
Fax 3304933761
Associated Practice Facility / Clinic
🏢 Trillium Family Solutions Inc Facility NPI 1629034830

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Canton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
567 Specialists

Practicing in Canton, OH (35490 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

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003552464
Laura Elliott-Heckaman , BA

Case Manager/Care Coordinator

NPI 1013420082

Bachelor of Arts

Deborah Vaughan , LPC

Counselor - Mental Health

NPI 1043840226

Licensed Professional Counselor

Terri Hudson

Social Worker

NPI 1053183574
NPI 1053766618
Hollie Pena

Case Manager/Care Coordinator

NPI 1053891515

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated July 24, 2025

Record deactivated on July 24, 2025

NPI Profile Active August 17, 2020

NPI status registered as active in NPPES database

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Updated Practice Location August 17, 2020

Registered at 624 MARKET AVE N, CANTON, OH 447021017 (Tel: 3304934553)

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Updated Business Mailing Address August 17, 2020

Registered at 624 MARKET AVE N, CANTON, OH 447021017 (Tel: 3304934553)

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Provider Name / Credentials Updated August 17, 2020

Recorded as JACK CAMERON

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2020

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration August 17, 2020

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: 1770195323
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2020
Last Update: August 17, 2020
Deactivation Date: July 24, 2025

Mailing Address

624 Market Ave N

Canton, OH 447021017

Phone: 3304934553

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.