Unknown Individual – Obstetrics & Gynecology Physician, NPI 1861456873

Unknown Individual is a healthcare provider. based in Macon, Georgia. specializing in Obstetrics & Gynecology Physician. They hold a License No. 37167 (GA). The NPI Number for Unknown Individual is 1861456873

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1861456873
Phone
(478) 745-7935
Address
650 COLISEUM PL
Deactivation Date
18 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
4787457935
Graduation Year
1989 (37 years ago)
PAC ID
3971799412
Group Practice PAC ID
0244227189
Professional Enrollment ID
I20101123001131
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

Loading map...

Provider Addresses for Unknown Individual

  • The Coliseum, Coliseum Drive, Macon, Bibb County, Georgia, 31201-1662, United States

    MACON, GA 312173867

    Phone: (478) 745-7935

    Fax: (478) 745-7806

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 31217)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Obstetrics & Gynecology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYGA81002Urinalysis, manual test1814

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: 0244227189View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
Nurse PractitionerGA
O B S T E T R I C S/ G Y N E C O L O G YGA
-GA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1861456873.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Obstetrics & Gynecology Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Macon, Georgia in our summary view.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

FELISHA LOVE KITCHEN (M.D.)

Obstetrics & Gynecology Physician
580, Pine Street, Macon, Bibb County, Georgia, 31201, United States
NPI: 1114926201

DR. HARVEY BURTON RODDENBERRY (M.D.)

Obstetrics & Gynecology Physician
380, Hospital Drive, Macon, Bibb County, Georgia, 31217, United States
NPI: 1841286978

DR. WILLIAM COTTLES JR. SHIRLEY (M.D.)

Obstetrics & Gynecology Physician
380, Hospital Drive, Macon, Bibb County, Georgia, 31217, United States
NPI: 1568458289

DR. JOHN ERIC RODDENBERRY (M.D.)

Obstetrics & Gynecology Physician
380, Hospital Drive, Macon, Bibb County, Georgia, 31217, United States
NPI: 1992791628

TERESA MAJOR LUHRS (M.D.)

Obstetrics & Gynecology Physician
Forsyth Street, Macon, Bibb County, Georgia, 31201, United States
NPI: 1043200694

DR. MICHAEL MASAMI MAKII (MD)

Obstetrics & Gynecology Physician
770, Pine Street, Macon, Bibb County, Georgia, 31201, United States
NPI: 1316917768

DR. PAUL KROSS (M.D.)

Obstetrics & Gynecology Physician
770, Pine Street, Macon, Bibb County, Georgia, 31201, United States
NPI: 1942276241

DR. DAVID BRIAN KAY (MD)

General Practice Physician
138 N COLLEGE ST
NPI: 1720057102

DR. STEPHEN M DURKEE (M.D.)

Obstetrics & Gynecology Physician
The Coliseum, Coliseum Drive, Macon, Bibb County, Georgia, 31201-1662, United States
NPI: 1437113826