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Deactivated NPI 1568442002 Deactivated / Inactive NPI Male Practitioner

Dr. Jon Scott Fantz , MD

Internal Medicine • Jackson, TN

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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, Dr. Jon Fantz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 19, 2006
NPI Deactivation Date March 05, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Jon Fantz, MD was a registered Internal Medicine practicing in Jackson, TN. Throughout an active medical career spanning 20 years, Dr. Fantz provided care at the practice location at 9 PHYSICIAN DRIVE until profile deactivation on 2026-03-05.

Practice Location & Contact Primary Location

Practice Address

9 Physician Drive

Jackson, TN 38301

Telephone 7316165332

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Jackson, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.2 Yrs
State Avg: 28.4 Yrs
Regional Practice Density
67 Specialists

Practicing in Jackson, TN (2716 Statewide)

Telehealth Adoption Rate
4.5% 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

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 012034

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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 March 05, 2026

Record deactivated on March 05, 2026

NPI Profile Active August 18, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 18, 2008

Registered at 9 PHYSICIAN DRIVE, JACKSON, TN 38301 (Tel: 7316165332)

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Updated Business Mailing Address August 18, 2008

Registered at 288 STARCROSS LANE, PO BOX 20894, JASPER, GA 30143 (Tel: 7708944194)

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Provider Name / Credentials Updated August 18, 2008

Recorded as JON FANTZ, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2008

Internal Medicine (License #012034 in GA)

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Initial NPI Registration & Enumeration January 19, 2006

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: 1568442002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2006
Last Update: August 18, 2008
Deactivation Date: March 05, 2026

Mailing Address

288 Starcross Lane, Po Box 20894

Jasper, GA 30143

Phone: 7708944194

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.