Unknown Individual – Family Nurse Practitioner, NPI 1811443468

Unknown Individual is a healthcare provider. based in Savannah, Georgia. specializing in Family Nurse Practitioner. They hold a License No. RN108957 (GA). The NPI Number for Unknown Individual is 1811443468

Main info

Organization
Inactive
10 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1811443468
Phone
(912) 644-5300
Address
460 MALL BOULEVARD
Deactivation Date
19 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9128715437
Graduation Year
2016 (10 years ago)
PAC ID
1951697192
Group Practice PAC ID
8820196058
Professional Enrollment ID
I20160914001111
Data current as of
20 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

  • 460, Mall Boulevard, Grove Park, Savannah, Chatham County, Georgia, 31406, United States

    SUITE B

    SAVANNAH, GA 31406

    Phone: (912) 644-5300

    Fax: (912) 644-3369

    Type: Mailing

  • 961, East Winthrope Avenue, Millen, Jenkins County, Georgia, 30442, United States

    MILLEN, GA 30442

    Phone: (478) 982-0120

    Fax: (478) 982-8228

    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 31406)

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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: 8820196058View full group profile
NameSpecialtyState
-OH
Hospitalist, Internal MedicineGA
Hospitalist, Internal MedicineTN
-SC
Internal MedicineGA
-GA
Internal MedicineNY
Internal MedicineVA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1811443468.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Georgia?
You will see Savannah, Georgia on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1811443468. Always confirm identity and privileges with the practice and licensing boards.

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