Unknown Individual – Otolaryngology Physician, NPI 1871683615

Unknown Individual is a healthcare provider. based in Athens, Georgia. specializing in Otolaryngology Physician. They hold a License No. 15586 (GA). The NPI Number for Unknown Individual is 1871683615

Main info

Organization
Inactive
63 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1871683615
Phone
(706) 549-3047
Address
1270 Prince Ave
Deactivation Date
12 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1963 (63 years ago)
PAC ID
6002091386
Professional Enrollment ID
I20110502000309
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1270 Prince Ave

    Athens, GA 306062762

    Phone: (706) 549-3047

    Fax: (706) 549-1503

    Type: Location

  • Sunset Drive, Athens, Clarke County, Georgia, 30606, United States

    ATHENS, GA 306062287

    Phone: (706) 549-3047

    Fax: (706) 549-1503

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 30606)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1871683615; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
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 Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Athens, Georgia for Unknown Individual; expand the address list for detail.
What if Athens, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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