Unknown Individual – Surgical Oncology Physician, NPI 1023017829

Unknown Individual is a healthcare provider. based in Augusta, Georgia. specializing in Surgical Oncology Physician. They hold a License No. MD036910 (GA). The NPI Number for Unknown Individual is 1023017829

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1023017829
Phone
(706) 774-7263
Address
820 SAINT SEBASTIAN WAY
Deactivation Date
27 September 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7064340130
Graduation Year
1988 (38 years ago)
PAC ID
4284615568
Group Practice PAC ID
4587885249
Professional Enrollment ID
I20040525000557
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 820, Saint Sebastian Way, Augusta, Richmond County, Georgia, 30901, United States

    AUGUSTA, GA 309012643

    Phone: (706) 774-7263

    Fax: (706) 774-7230

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes297274$0
99214Established patient office or other outpatient visit, 30-39 minutes4946$0
99204New patient office or other outpatient visit, 45-59 minutes3333$0
10005Fine needle aspiration biopsy using ultrasound guidance, first growth1515$0
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Insurance plans in this area (ZIP 30901)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1023017829.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Surgical Oncology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Augusta, Georgia?
For routing, start with Augusta, Georgia for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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