Unknown Individual – Anesthesiology Physician, NPI 1467443275

Unknown Individual is a healthcare provider. based in Augusta, Georgia. specializing in Anesthesiology Physician. They hold a License No. 032929E (PA). The NPI Number for Unknown Individual is 1467443275

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1467443275
Phone
(800) 394-4445
Address
804 SCOTT NIXON MEMORIAL DR
Deactivation Date
8 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2158295664
Graduation Year
1976 (50 years ago)
PAC ID
8022041169
Group Practice PAC ID
5991617292
Professional Enrollment ID
I20110526000088
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

  • 804, Scott Nixon Memorial Drive, Augusta, Richmond County, Georgia, 30907, United States

    AUGUSTA, GA 309072464

    Phone: (800) 394-4445

    Type: Mailing

  • 800 SPRUCE ST

    PHILA, PA 191076130

    Phone: (215) 829-5664

    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 30907)

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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: 5991617292View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)NJ
-PA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)GA
-GA
-GA
A N E S T H E S I O L O G YPA

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1467443275.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Anesthesiology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Augusta, Georgia in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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