Unknown Individual – Podiatrist, NPI 1811980014

Unknown Individual is a healthcare provider. based in Albany, Georgia. specializing in Podiatrist. They hold a License No. 000465 (GA). The NPI Number for Unknown Individual is 1811980014

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1811980014
Phone
(229) 883-3535
Address
531 7TH AVE
Deactivation Date
12 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9128833535
Graduation Year
1978 (48 years ago)
PAC ID
5395828768
Group Practice PAC ID
5496746117
Professional Enrollment ID
I20101005000176
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

  • 531, 7th Avenue, City of Watervliet, Albany County, New York, 12189, United States

    ALBANY, GA 317011921

    Phone: (229) 883-3535

    Fax: (229) 883-3783

    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 1 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-05-03 • Largest payer in this snapshot: Organogenesis Inc. ($61).

Total Amount

$61

General + Research + Ownership

Payments

1

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organogenesis Inc.$61
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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31701)

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Provider's Procedures

Unknown Individual performs procedures in Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYGA11720Removal of tissue from 1 to 5 finger or toe nails5745
PODIATRYGA73630X-ray of foot, minimum of 3 views172139

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: 5496746117View full group profile
NameSpecialtyState
P O D I A T R YGA
P O D I A T R YGA

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1811980014.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Podiatrist. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Albany, Georgia in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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