Unknown Individual – Nurse Practitioner, NPI 1366961427

Unknown Individual is a healthcare provider. based in Blairsville, Georgia. specializing in Nurse Practitioner. They hold a License No. RN179860 (GA). The NPI Number for Unknown Individual is 1366961427

Main info

Organization
Inactive
10 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1366961427
Phone
Not provided
Address
157 DALLAS COLLINS RD
Deactivation Date
8 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7707252399
Graduation Year
2016 (10 years ago)
PAC ID
9335476407
Group Practice PAC ID
3779708649
Professional Enrollment ID
I20190812003967
Data current as of
20 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

  • 157 DALLAS COLLINS RD

    BLAIRSVILLE, GA 305127250

    Phone:

    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 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-02-08 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-08

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30512)

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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: 3779708649View full group profile

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1366961427 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Georgia is Unknown Individual registered?
Use Blairsville, Georgia as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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