Unknown Individual – Nurse Practitioner, NPI 1548209901

Unknown Individual is a healthcare provider. based in Dublin, Georgia. specializing in Nurse Practitioner. They hold a License No. R057027 (GA). The NPI Number for Unknown Individual is 1548209901

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1548209901
Phone
(478) 929-0036
Address
PO BOX 16100
Deactivation Date
15 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9125378588
Graduation Year
1997 (29 years ago)
PAC ID
0244242782
Group Practice PAC ID
1153544945
Professional Enrollment ID
I20060626000260
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

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Provider Addresses for Unknown Individual

  • PO BOX 16100

    DUBLIN, GA 310406100

    Phone: (478) 929-0036

    Fax: (478) 929-1744

    Type: Mailing

  • 1110, Hillcrest Parkway, Dublin, Laurens County, Georgia, 31021, United States

    DUBLIN, GA 310213687

    Phone: (478) 296-2800

    Fax: (478) 296-2801

    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 31040)

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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: 1153544945View full group profile

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1548209901.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Dublin, Georgia for Unknown Individual; expand the address list for detail.
What if Dublin, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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