Unknown Individual – Geriatric Medicine (Family Medicine) Physician, NPI 1447340567

Geriatric Medicine (Family Medicine) Physician

Unknown Individual is a healthcare provider. based in Hawkinsville, Georgia. specializing in Geriatric Medicine (Family Medicine) Physician. They hold a License No. 19949 (GA). The NPI Number for Unknown Individual is 1447340567

Main info

Organization

Inactive

49 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1447340567

Phone

(478) 783-4060

Address

PO BOX 1098

Deactivation Date

26 August 2022

Doctor Profile

Medical School Name

MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE

Secondary Phone

4787834060

Graduation Year

1977 (49 years ago)

PAC ID

0042384125

Professional Enrollment ID

I20080807000336

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience19

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

Hawkinsville Post Office, North Dooley Street, Hawkinsville, Pulaski County, Georgia, 31036, United States
HAWKINSVILLE, GA 31036
Phone: (478) 783-4060
Fax: (478) 892-4060
Type: Mailing
412, Commerce Street, Hawkinsville, Pulaski County, Georgia, 31036, United States
HAWKINSVILLE, GA 31036
Phone: (478) 783-4060
Fax: (478) 892-4060
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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 31036)

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Provider's Procedures

Unknown Individual performs procedures in Geriatric Medicine (Family Medicine) Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
FAMILY MEDICINE	GA	94060	Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration	32	32

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?

Unknown Individual — NPI 1447340567 — is the standard way to identify this listing.

What dates should I check for Unknown Individual's activity?

We display what the registry publishes: Unknown Individual appears inactive there.

What is Unknown Individual best known for clinically?

Directory data describes Unknown Individual with Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.

What area does Unknown Individual serve?

Unknown Individual's listing highlights Hawkinsville, Georgia; more addresses can appear in NPPES.

Is the information about Unknown Individual up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."