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Deactivated NPI 1417004524 Deactivated / Inactive NPI Male Practitioner

John Merrill

Physician Assistant • Virginia Beach, 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, John Merrill has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 04, 2007
NPI Deactivation Date January 06, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

John Merrill was a registered Physician Assistant practicing in Virginia Beach, VA. Throughout an active medical career spanning 13 years, John Merrill provided care at the practice location at 6095 INDIAN RIVER RD until profile deactivation on 2020-01-06.

Practice Location & Contact Primary Location

Practice Address

6095 Indian River Rd
Suite 201

Virginia Beach, VA 234643818

Telephone 7574207921
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Virginia Beach, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
267 Specialists

Practicing in Virginia Beach, VA (4432 Statewide)

Telehealth Adoption Rate
23.2% 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

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

5 Associated Practitioners
NPI 1083747034
Rachel Winston

Physical Therapist

NPI 1447403795
NPI 1528202405

Registered Pharmacist

Traci Johns

Pharmacist

NPI 1700947348
Sheilah Walker

Pharmacist

NPI 1780821470

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 January 06, 2020

Record deactivated on January 06, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 6095 INDIAN RIVER RD, SUITE 201, VIRGINIA BEACH, VA 234643818 (Tel: 7574207921)

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Updated Business Mailing Address July 08, 2007

Registered at 7504 CREEKS END RD, GLOUCESTER, VA 230615006 (Tel: 8048152362)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN MERRILL

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant

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Initial NPI Registration & Enumeration January 04, 2007

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: 1417004524
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2007
Last Update: July 08, 2007
Deactivation Date: January 06, 2020

Mailing Address

7504 Creeks End Rd

Gloucester, VA 230615006

Phone: 8048152362

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.