Unknown Individual – Specialist, NPI 1174521132
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1109, Medical Center Drive, Augusta, Richmond County, Georgia, 30909, United States
BUILDING #5
AUGUSTA, GA 309096633
Phone: (706) 863-6637
Fax: (706) 863-6638
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 $88.
Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($54).
Total Amount
$88
General + Research + Ownership
Payments
5
Total payment records
General Amount
$88
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
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 | 124 | 85 | $0 |
Insurance plans in this area (ZIP 30909)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | GA | |
| Internal Medicine, Nephrology | GA |
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