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Deactivated NPI 1720131550 Deactivated / Inactive NPI Male Practitioner

Jerry L Mcdaniel

Contractor • Salters, SC

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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, Jerry Mcdaniel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 18, 2007
NPI Deactivation Date April 23, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Jerry Mcdaniel was a registered Contractor practicing in Salters, SC. Throughout an active medical career spanning 19 years, Jerry Mcdaniel provided care at the practice location at 481 DIXIE ROAD until profile deactivation on 2026-04-23.

Practice Location & Contact Primary Location

Practice Address

481 Dixie Road

Salters, SC 29590

Telephone 8433875842
Fax 8433875840

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Salters, SC

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

Practicing in Salters, SC (84 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

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License SC RBS 10506

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

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 23, 2026

Record deactivated on April 23, 2026

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 481 DIXIE ROAD, SALTERS, SC 29590 (Tel: 8433875842)

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Updated Business Mailing Address July 08, 2007

Registered at 481 DIXIE ROAD, SALTERS, SC 29590 (Tel: 8433875842)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JERRY MCDANIEL

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

Contractor (License #RBS 10506 in SC)

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Initial NPI Registration & Enumeration January 18, 2007

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: 1720131550
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2007
Last Update: July 08, 2007
Deactivation Date: April 23, 2026

Mailing Address

481 Dixie Road

Salters, SC 29590

Phone: 8433875842

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.