Unknown Individual – Anesthesiology Physician, NPI 1922066752

Unknown Individual is a healthcare provider. based in Augusta, Georgia. specializing in Anesthesiology Physician. They hold a License No. 044792L (PA). The NPI Number for Unknown Individual is 1922066752

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1922066752
Phone
Not provided
Address
804 SCOTT NIXON MEMORIAL DR
Deactivation Date
26 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
5703227092
Graduation Year
1989 (37 years ago)
PAC ID
0840191227
Group Practice PAC ID
7810974003
Professional Enrollment ID
I20040119000190
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

  • 804, Scott Nixon Memorial Drive, Augusta, Richmond County, Georgia, 30907, United States

    AUGUSTA, GA 309072464

    Phone:

    Type: Mailing

  • 777, Rural Avenue, Williamsport, Lycoming County, Pennsylvania, 17701, United States

    WILLIAMSPORT, PA 177013109

    Phone: (570) 322-7092

    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 30907)

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Provider's Procedures

Unknown Individual performs procedures in Anesthesiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYPA01402Anesthesia for open or endoscopic total knee joint replacement2222

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: 7810974003View full group profile

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1922066752 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Augusta, Georgia?
For routing, start with Augusta, Georgia for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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