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Deactivated NPI 1235229279 Deactivated / Inactive NPI Male Practitioner

Kolin Howard Bennett , PA-C

Physician Assistant • Roanoke, 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, Kolin Bennett has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 13, 2006
NPI Deactivation Date August 03, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Kolin Bennett, PA-C was a registered Physician Assistant practicing in Roanoke, VA. Throughout an active medical career spanning 15 years, Kolin Bennett provided care at the practice location at 2727 ELECTRIC RD until profile deactivation on 2021-08-03.

Practice Location & Contact Primary Location

Practice Address

2727 Electric Rd
Suite 103

Roanoke, VA 240183547

Telephone 5407721974
Fax 5402830032
Associated Practice Facility / Clinic
🏢 Lewis-Gale Physicians, Llc Facility NPI 1275644908

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Roanoke, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.4 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
301 Specialists

Practicing in Roanoke, VA (4432 Statewide)

Telehealth Adoption Rate
13.0% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110-001431

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Kathy Kellogg Bush , LPC

Counselor - Professional

NPI 1285183665

Licensed Professional Counselor

Dr. Joseph Mason , MD

Psychiatry & Neurology - Psychiatry

NPI 1326080466

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 August 03, 2021

Record deactivated on August 03, 2021

NPI Profile Active March 22, 2012

NPI status registered as active in NPPES database

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Updated Practice Location March 22, 2012

Registered at 2727 ELECTRIC RD, SUITE 103, ROANOKE, VA 240183547 (Tel: 5407721974)

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Updated Business Mailing Address March 22, 2012

Registered at 2727 ELECTRIC RD, SUITE 103, ROANOKE, VA 240183547 (Tel: 5407721974)

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Provider Name / Credentials Updated March 22, 2012

Recorded as KOLIN BENNETT, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2012

Physician Assistant (License #0110-001431 in VA)

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Initial NPI Registration & Enumeration October 13, 2006

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: 1235229279
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2006
Last Update: March 22, 2012
Deactivation Date: August 03, 2021

Mailing Address

2727 Electric Rd, Suite 103

Roanoke, VA 240183547

Phone: 5407721974

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.