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Deactivated NPI 1881046852 Deactivated / Inactive NPI Male Practitioner

Dr. Gary Kimmel , MD

Rehabilitation Practitioner • Tyler, TX

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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. Gary Kimmel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 01, 2016
NPI Deactivation Date December 11, 2018
Total Practice Duration ~2 Years of Practice (2016 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Kimmel, MD was a registered Rehabilitation Practitioner practicing in Tyler, TX. Throughout an active medical career spanning 2 years, Dr. Kimmel provided care at the practice location at 218 N COLLEGE AVE until profile deactivation on 2018-12-11.

Practice Location & Contact Primary Location

Practice Address

218 N College Ave

Tyler, TX 757025715

Telephone 9035610149
Associated Practice Facility / Clinic
🏢 Hope Haven Family Solutions Facility NPI 1902628522

Specialty Benchmarks & Practice Insights

Comparative analytics for Rehabilitation Practitioner in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Tyler, TX (57 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

Rehabilitation Practitioner Primary Specialty

NUCC Taxonomy Code: 225400000X

State License TX E2256

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Practice Associates & Co-Workers

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

11 Associated Practitioners
Tammie Anderson , LPC

Counselor - Mental Health

NPI 1073963856

Licensed Professional Counselor

Donald Neal , MA, LPC

Counselor - Professional

NPI 1205418977

Master of Arts, Licensed Professional Counselor

Michael Hazeltine , MA, LPC

Counselor - Professional

NPI 1215413091

Master of Arts, Licensed Professional Counselor

Olivia Bodiford , LPC - A

Counselor - Professional

NPI 1225610199

LPCA

Keren Acuna , MS

Counselor - Mental Health

NPI 1508307802

Master of Science

Brittany Gayetsky , LCSW, MSW

Social Worker - Clinical

NPI 1619286929

Licensed Clinical Social Worker, Master of Social Work

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 December 11, 2018

Record deactivated on December 11, 2018

NPI Profile Active July 01, 2016

NPI status registered as active in NPPES database

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Updated Practice Location July 01, 2016

Registered at 218 N COLLEGE AVE, TYLER, TX 757025715 (Tel: 9035610149)

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Updated Business Mailing Address July 01, 2016

Registered at 12460 COUNTY ROAD 168, FLINT, TX 757628004 (Tel: 9035618782)

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Provider Name / Credentials Updated July 01, 2016

Recorded as GARY KIMMEL, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2016

Rehabilitation Practitioner (License #E2256 in TX)

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Initial NPI Registration & Enumeration July 01, 2016

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: 1881046852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2016
Last Update: July 01, 2016
Deactivation Date: December 11, 2018

Mailing Address

12460 County Road 168

Flint, TX 757628004

Phone: 9035618782

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.