Unknown Individual – Emergency Medical Services (Emergency Medicine) Physician, NPI 1306060264

Unknown Individual is a healthcare provider. based in Macon, Georgia. specializing in Emergency Medical Services (Emergency Medicine) Physician. They hold a License No. 30068 (GA). The NPI Number for Unknown Individual is 1306060264

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1306060264
Phone
(478) 471-7452
Address
4755 WESLEYAN WOODS DR
Deactivation Date
5 June 2025

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7702678461
Graduation Year
1985 (41 years ago)
PAC ID
8729029921
Group Practice PAC ID
5193620714
Professional Enrollment ID
I20050518000578
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 4755 WESLEYAN WOODS DR

    MACON, GA 312104410

    Phone: (478) 471-7452

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $8.

Total Amount is formed as General ($8) + Research ($0) + Ownership ($0) = $8.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: BTG International, Inc. ($8).

Total Amount

$8

General + Research + Ownership

Payments

1

Total payment records

General Amount

$8

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making141138$0
99285Emergency department visit with high level of medical decision making9289$0
99283Emergency department visit with low level of medical decision making4141$0
99282Emergency department visit with straightforward medical decision making1818$0
99291Critical care, first 30-74 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 31210)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193620714View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1306060264.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Macon, Georgia?
If you are local to Macon, Georgia, Unknown Individual may be relevant to your search.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

DR. ADEBOLA ADEKUNLE ADEOGUN (MD)

Emergency Medical Services (Emergency Medicine) Physician
The Phoenix, Broad Street Plaza, Five Points, Atlanta, Fulton County, Georgia, 30303, United States
NPI: 1710939194

LISA KIRKLAND (MD)

Emergency Medical Services (Emergency Medicine) Physician
CVS Pharmacy, 235, Peachtree Street Northeast, Five Points, Atlanta, Georgia, 30303, United States
NPI: 1093818312

NALINI RAMAIYA (MD)

Family Medicine Physician
350 Hospital Dr
NPI: 1205901899

MATTHEW ANTHONY TYREE (NP)

Family Nurse Practitioner
164 BEAR CREEK TRL
NPI: 1245988583

JACOB DIPAOLO

Emergency Medical Services (Emergency Medicine) Physician
851 DOGWOOD CIR
NPI: 1093573883