Unknown Individual – Internal Medicine Physician, NPI 1063415081
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Yarbrough Street, Hazlehurst, Jeff Davis County, Georgia, 31539, United States
HAZLEHURST, GA 315396341
Phone: (912) 375-0755
Fax: (912) 375-0756
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)
CMS reports 5 Open Payments records for all available years, with a total value of $94.
Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.
Last reported payment date: 2024-02-27 • Largest payer in this snapshot: Lilly USA, LLC ($36).
Total Amount
$94
General + Research + Ownership
Payments
5
Total payment records
General Amount
$94
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $36 |
| GlaxoSmithKline, LLC. | $20 |
| Xeris Pharmaceuticals, Inc. | $20 |
| PFIZER INC. | $19 |
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.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,310 | 276 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 613 | 101 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 436 | 93 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 367 | 97 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 225 | 104 | $0 |
Insurance plans in this area (ZIP 31539)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | GA | 81002 | Urinalysis, manual test | 263 | 210 |
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