Unknown Individual – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1356342281

Unknown Individual is a healthcare provider. based in Albany, Georgia. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. They hold a License No. 055825 (GA). The NPI Number for Unknown Individual is 1356342281

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1356342281
Phone
(229) 312-5800
Address
500 W 3RD AVE
Deactivation Date
8 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
3779519715
Group Practice PAC ID
8426112350
Professional Enrollment ID
I20050712000356

Contacts

Secure Messaging
FRANCIS.HERRBOLD@hca5.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • 500, West 3rd Avenue, Albany, Dougherty County, Georgia, 31701, United States

    STE 101

    ALBANY, GA 317011985

    Phone: (229) 312-5800

    Fax: (229) 312-5853

    Type: Mailing

  • 425, West 3rd Avenue, Albany, Dougherty County, Georgia, 31701, United States

    ALBANY, GA 317011941

    Phone: (229) 312-7510

    Fax: (229) 312-7505

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $2,661.

Total Amount is formed as General ($2,661) + Research ($0) + Ownership ($0) = $2,661.

Last reported payment date: 2024-01-25 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($1,610).

Total Amount

$2,661

General + Research + Ownership

Payments

33

Total payment records

General Amount

$2,661

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-25

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
99214Established patient office or other outpatient visit, 30-39 minutes4437$0
99204New patient office or other outpatient visit, 45-59 minutes3434$0
33533Coronary artery bypass using artery graft, 1 graft1515$0
View full utilization report →

Insurance plans in this area (ZIP 31701)

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Provider's Procedures

Unknown Individual performs procedures in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
THORACIC SURGERYGA33518Combined multiple vein and artery heart artery bypasses2121
THORACIC SURGERYGA33533Heart artery bypass to repair one artery4040
THORACIC SURGERYGA93922Ultrasound study of arteries of both arms and legs1513
THORACIC SURGERYGA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers117115

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: 8426112350View full group profile
NameSpecialtyState
-GA
Nurse PractitionerGA
-GA
Internal MedicineGA
-GA
Certified Registered Nurse Anesthetist (Crna)GA
Internal Medicine, Critical Care (Intensivists), Infectious DiseaseIN
Internal MedicineGA
Internal MedicineGA
Pulmonary Disease, Internal MedicineFL

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1356342281 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Albany, Georgia in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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