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Deactivated NPI 1831559111 Deactivated / Inactive NPI Female Practitioner

Susan Wilson

Case Manager/Care Coordinator • Galax, 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, Susan Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 01, 2016
NPI Deactivation Date May 01, 2025
Total Practice Duration ~9 Years of Practice (2016 – 2025)

Professional Overview & Biography Verified Profile Summary

Susan Wilson was a registered Case Manager/Care Coordinator practicing in Galax, VA. Throughout an active medical career spanning 9 years, Susan Wilson provided care at the practice location at 3403 OLD BAYWOOD RD until profile deactivation on 2025-05-01.

Practice Location & Contact Primary Location

Practice Address

3403 Old Baywood Rd

Galax, VA 243332090

Telephone 3364971102
Fax 2762381830
Associated Practice Facility / Clinic
🏢 Susan Hart Facility NPI 1588428361

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Galax, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Galax, VA (499 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

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
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NPI Profile Deactivated May 01, 2025

Record deactivated on May 01, 2025

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Provider Name / Credentials Updated August 05, 2024

Recorded as SUSAN HART, SERVICE FACILITATOR

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Updated Practice Location December 15, 2022

Registered at 3403 OLD BAYWOOD RD, GALAX, VA 24333 (Tel: 2762333857)

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Updated Business Mailing Address December 15, 2022

Registered at 3403 OLD BAYWOOD RD, GALAX, VA 24333 (Tel: 2762333857)

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Provider Name / Credentials Updated December 15, 2022

Recorded as SUSAN ROBERTS, SERVICE FACILITATOR

NPI Profile Active December 11, 2017

NPI status registered as active in NPPES database

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Updated Practice Location December 11, 2017

Registered at 24 RIVERSIDE DR, INDEPENDENCE, VA 243483746 (Tel: 2762333857)

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Updated Business Mailing Address December 11, 2017

Registered at 24 RIVERSIDE DR, INDEPENDENCE, VA 243483746 (Tel: 2762333857)

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Provider Name / Credentials Updated December 11, 2017

Recorded as SUSAN WILSON, SERVICE FACILITATOR

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2017

Case Manager/Care Coordinator

NPI Profile Active March 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2016

Registered at 3403 OLD BAYWOOD RD, GALAX, VA 243332090 (Tel: 3364971102)

📍
Updated Business Mailing Address March 01, 2016

Registered at 3403 OLD BAYWOOD RD, GALAX, VA 243332090 (Tel: 3364971102)

👤
Provider Name / Credentials Updated March 01, 2016

Recorded as SUSAN WILSON

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

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration March 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: 1831559111
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2016
Last Update: March 01, 2016
Deactivation Date: May 01, 2025

Mailing Address

3403 Old Baywood Rd

Galax, VA 243332090

Phone: 3364971102

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.