Unknown Individual – Plastic and Reconstructive Surgery Physician, NPI 1841267549

Unknown Individual is a healthcare provider. based in Augusta, Georgia. specializing in Plastic and Reconstructive Surgery Physician. They hold a License No. 027097 (GA). The NPI Number for Unknown Individual is 1841267549

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1841267549
Phone
(706) 863-9595
Address
PO BOX 3726
Deactivation Date
30 April 2026

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7068639595
Graduation Year
1966 (60 years ago)
PAC ID
5092702860
Group Practice PAC ID
7618963638
Professional Enrollment ID
I20040426001431
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

  • Augusta Post Office, 40, Western Avenue, Augusta, Kennebec County, Maine, 04330, United States

    AUGUSTA, GA 309143726

    Phone: (706) 863-9595

    Fax: (888) 745-3917

    Type: Mailing

  • 3675, J Dewey Gray Circle, Augusta, Richmond County, Georgia, 30909, United States

    SUITE 300

    AUGUSTA, GA 309091868

    Phone: (706) 863-9595

    Fax: (888) 745-3917

    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 30914)

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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: 7618963638View full group profile
NameSpecialtyState
-GA
-GA
Plastic And Reconstructive SurgeryMS
Physician AssistantGA
Plastic And Reconstructive SurgeryGA
-GA
Plastic And Reconstructive SurgeryGA
-WI
Plastic And Reconstructive Surgery, Critical Care (Intensivists), General SurgeryGA
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 1841267549.
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 Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Georgia?
You will see Augusta, 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 1841267549. Always confirm identity and privileges with the practice and licensing boards.

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