Unknown Individual – Emergency Medicine Physician, NPI 1518946235

Unknown Individual is a healthcare provider. based in Athens, Georgia. specializing in Emergency Medicine Physician. They hold a License No. 052827 (GA). The NPI Number for Unknown Individual is 1518946235

Main info

Organization
Inactive
26 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1518946235
Phone
(706) 543-3449
Address
1230 BAXTER ST
Deactivation Date
20 September 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7063893000
Graduation Year
2000 (26 years ago)
PAC ID
1658330253
Group Practice PAC ID
0547698680
Professional Enrollment ID
I20041008000511
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

  • St. Mary's, 1230, Baxter Street, Beechwood Hills, Athens, Athens-Clarke County, Georgia, 30606, United States

    ATHENS, GA 306063712

    Phone: (706) 543-3449

    Fax: (706) 543-5744

    Type: Location

  • Box, 4, Κωλέττη, Exarcheia, Athens, Municipality of Athens, Regional Unit of Central Athens, Attica, 106 81, Greece

    ATHENS, GA 306048298

    Phone: (706) 543-3449

    Type: Mailing

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making134130$0
99284Emergency department visit with moderate level of medical decision making4848$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4646$0
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Insurance plans in this area (ZIP 30606)

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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: 0547698680View full group profile
NameSpecialtyState
Nurse PractitionerGA
-AL
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Emergency MedicineGA
Emergency MedicineGA
Emergency MedicineTN
-GA
Emergency MedicineGA

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1518946235 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Athens, Georgia in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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