Johnny Dale Gilmore
Peer Specialist • Durant, OK
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, Johnny Gilmore has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Johnny Gilmore was a registered Peer Specialist practicing in Durant, OK. Throughout an active medical career spanning 8 years, Johnny Gilmore provided care at the practice location at 1315 W TEXAS ST until profile deactivation on 2025-03-06.
Practice Location & Contact Primary Location
1315 W Texas St
Durant, OK 747015749
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Durant, OK
Practicing in Durant, OK (5280 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 06, 2025
NPI status registered as active in NPPES database
Registered at 1315 W TEXAS ST, DURANT, OK 747015749 (Tel: 5802809883)
Registered at 1315 W TEXAS ST, DURANT, OK 747015749
Recorded as JOHNNY GILMORE
Peer Specialist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1315 W Texas St
Durant, OK 747015749
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