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Deactivated NPI 1073597373 Deactivated / Inactive NPI Male Practitioner

Dr. Ernest Kofi Antwi , MD

Specialist • 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. Ernest Antwi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 01, 2005
NPI Deactivation Date August 03, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Ernest Antwi, MD was a registered Specialist practicing in Jackson, TN. Throughout an active medical career spanning 12 years, Dr. Antwi provided care at the practice location at 2782 N HIGHLAND AVE STE D until profile deactivation on 2017-08-03.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2782 N Highland Ave Ste D

Jackson, TN 383051797

Telephone 7314218908
Fax 7314218469
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Jackson, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.4 Yrs
State Avg: 36.3 Yrs
Regional Practice Density
34 Specialists

Practicing in Jackson, TN (784 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
35.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
47 32 $150.00 $97.51

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TN 35784

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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 August 03, 2017

Record deactivated on August 03, 2017

NPI Profile Active May 13, 2013

NPI status registered as active in NPPES database

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Updated Practice Location May 13, 2013

Registered at 2782 N HIGHLAND AVE STE D, JACKSON, TN 383051797 (Tel: 7314218908)

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Updated Business Mailing Address May 13, 2013

Registered at 2782 N HIGHLAND AVE STE D, P O BOX 11747, JACKSON, TN 383051797 (Tel: 7314218908)

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Provider Name / Credentials Updated May 13, 2013

Recorded as ERNEST ANTWI, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2013

Specialist (License #35784 in TN)

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Initial NPI Registration & Enumeration December 01, 2005

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: 1073597373
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2005
Last Update: May 13, 2013
Deactivation Date: August 03, 2017

Mailing Address

2782 N Highland Ave Ste D, P O Box 11747

Jackson, TN 383051797

Phone: 7314218908

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.