Unknown Individual – Internal Medicine Physician, NPI 1568497261

Unknown Individual is a healthcare provider. based in Calhoun, Georgia. specializing in Internal Medicine Physician. They hold a License No. 045574 (GA). The NPI Number for Unknown Individual is 1568497261

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1568497261
Phone
Not provided
Address
PO BOX 12938
Deactivation Date
17 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
7066028200
Graduation Year
1994 (32 years ago)
PAC ID
0648249565
Group Practice PAC ID
4486568037
Professional Enrollment ID
I20100521000462
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 12938

    C/O CLINIC MANAGEMENT

    CALHOUN, GA 30703

    Phone:

    Type: Mailing

  • AdventHealth Medical Group Orthopedics & Sports Medicine at Calhoun, 400, R Timms Road Northeast, Calhoun, Gordon County, Georgia, 30701, United States

    CALHOUN, GA 307017016

    Phone: (706) 625-0022

    Fax: (706) 625-8586

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $637.

Total Amount is formed as General ($637) + Research ($0) + Ownership ($0) = $637.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: ABBVIE INC. ($79).

Total Amount

$637

General + Research + Ownership

Payments

37

Total payment records

General Amount

$637

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample217170$0
99214Established patient office or other outpatient visit, 30-39 minutes184141$0
99213Established patient office or other outpatient visit, 20-29 minutes149117$0
96372Injection of drug or substance under skin or into muscle10741$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg8515$0
View full utilization report →

Insurance plans in this area (ZIP 30703)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEGA81002Urinalysis, manual test1111

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: 4486568037View full group profile
NameSpecialtyState
Family PracticeGA
N E U R O S U R G E R YGA
Urology, Surgical OncologyGA
Internal MedicineGA
General SurgeryGA
N E U R O S U R G E R YVA
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1568497261 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Calhoun, Georgia because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1568497261. Always confirm identity and privileges with the practice and licensing boards.

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