Unknown Individual – Family Medicine Physician, NPI 1609880103
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
305, Kite Road, Swainsboro, Emanuel County, Georgia, 30401, United States
SWAINSBORO, GA 304015771
Phone: (478) 237-2144
Fax: (478) 237-4538
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $90.
Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.
Last reported payment date: 2023-10-31 • Largest payer in this snapshot: Lilly USA, LLC ($34).
Total Amount
$90
General + Research + Ownership
Payments
5
Total payment records
General Amount
$90
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $34 |
| Novo Nordisk Inc | $34 |
| Lundbeck LLC | $21 |
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 30401)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | GA | 81002 | Urinalysis, manual test | 45 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Thoracic Surgery, Cardiac Surgery, Vascular Surgery | GA | |
| Emergency Medicine | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine, Hospice/Palliative Care, Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| P S Y C H I A T R Y | GA | |
| Physician Assistant | GA |
Reviews
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