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Deactivated NPI 1700301595 Deactivated / Inactive NPI Male Practitioner

Mario Jenkins

Driver • Goochland, 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, Mario Jenkins has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 14, 2017
NPI Deactivation Date April 21, 2021
Total Practice Duration ~4 Years of Practice (2017 – 2021)

Professional Overview & Biography Verified Profile Summary

Mario Jenkins was a registered Driver practicing in Goochland, VA. Throughout an active medical career spanning 4 years, Mario Jenkins provided care at the practice location at 4620 RIVER RD W until profile deactivation on 2021-04-21.

Practice Location & Contact Primary Location

Practice Address

4620 River Rd W

Goochland, VA 230632806

Telephone 8042487923

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Goochland, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Goochland, VA (655 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

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

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 21, 2021

Record deactivated on April 21, 2021

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NPI Profile Active August 14, 2017

NPI status registered as active in NPPES database

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Updated Practice Location August 14, 2017

Registered at 4620 RIVER RD W, GOOCHLAND, VA 230632806 (Tel: 8042487923)

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Updated Business Mailing Address August 14, 2017

Registered at 4620 RIVER RD W, GOOCHLAND, VA 230632806

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Provider Name / Credentials Updated August 14, 2017

Recorded as MARIO JENKINS

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2017

Driver

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Initial NPI Registration & Enumeration August 14, 2017

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: 1700301595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2017
Last Update: August 14, 2017
Deactivation Date: April 21, 2021
Update or Correct Profile

Mailing Address

4620 River Rd W

Goochland, VA 230632806

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.