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Deactivated NPI 1003893942 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Douglas Dickens , MD

Pediatrics • Charlottesville, VA

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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. Michael Dickens has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 30, 2005
NPI Deactivation Date April 17, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Dickens, MD was a registered Pediatrics practicing in Charlottesville, VA. Throughout an active medical career spanning 20 years, Dr. Dickens provided care at the practice location at 1011 E JEFFERSON ST until profile deactivation on 2025-04-17.

Practice Location & Contact Primary Location

Practice Address

1011 E Jefferson St

Charlottesville, VA 229025354

Telephone 4342969161
Fax 4342961036
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Charlottesville, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.4 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
126 Specialists

Practicing in Charlottesville, VA (2079 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0101023851

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

27 Associated Practitioners
NPI 1013202928

Doctor of Medicine (M.D.)

NPI 1033196993

Doctor of Medicine (M.D.)

NPI 1033557541

Doctor of Medicine (M.D.)

NPI 1144206194

Doctor of Medicine (M.D.)

NPI 1144207580

Doctor of Medicine (M.D.)

NPI 1184891244

Doctor of Medicine (M.D.)

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 17, 2025

Record deactivated on April 17, 2025

NPI Profile Active September 29, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 29, 2012

Registered at 1011 E JEFFERSON ST, CHARLOTTESVILLE, VA 229025354 (Tel: 4342969161)

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Updated Business Mailing Address September 29, 2012

Registered at 103 KERRY LN, CHARLOTTESVILLE, VA 229012924 (Tel: 4349738493)

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Provider Name / Credentials Updated September 29, 2012

Recorded as MICHAEL DICKENS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2012

Pediatrics (License #0101023851 in VA)

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Initial NPI Registration & Enumeration December 30, 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: 1003893942
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2005
Last Update: September 29, 2012
Deactivation Date: April 17, 2025

Mailing Address

103 Kerry Ln

Charlottesville, VA 229012924

Phone: 4349738493

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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