Unknown Individual – Obstetrics & Gynecology Physician, NPI 1932175726

Unknown Individual is a healthcare provider. based in Valdosta, Georgia. specializing in Obstetrics & Gynecology Physician. They hold a License No. 054834 (GA). The NPI Number for Unknown Individual is 1932175726

Main info

Organization
Inactive
24 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1932175726
Phone
(229) 333-0277
Address
604 E PARK AVE
Deactivation Date
9 August 2021

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
2293330277
Graduation Year
2002 (24 years ago)
PAC ID
7517966351
Group Practice PAC ID
0547242471
Professional Enrollment ID
I20061205000624
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

  • 604, East Park Avenue, Charter Oaks, Valdosta, Lowndes County, Georgia, 31602, United States

    VALDOSTA, GA 316023060

    Phone: (229) 333-0277

    Fax: (229) 241-1608

    Type: Location

  • Valdosta Post Office, East Magnolia Street, Valdosta, Lowndes County, Georgia, 31601, United States

    VALDOSTA, GA 316042130

    Phone: (229) 333-0277

    Fax: (229) 241-1608

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2023-10-06 • Largest payer in this snapshot: Gilead Sciences, Inc. ($122).

Total Amount

$122

General + Research + Ownership

Payments

1

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$122
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 31602)

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/GYNECOLOGYGA76830Ultrasound pelvis through vagina1816

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: 0547242471View full group profile
NameSpecialtyState
-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

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1932175726 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Valdosta?
Unknown Individual currently maps to Valdosta, Georgia in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

Similar Providers

DR. ELLEN EANES COURSON (MD)

Obstetrics & Gynecology Physician
Valdosta Post Office, East Magnolia Street, Valdosta, Lowndes County, Georgia, 31601, United States
NPI: 1528080496

SAMUEL TAYLOR (M.D.)

Obstetrics & Gynecology Physician
2601 Bemiss Rd
NPI: 1164436788

VALDOSTA WOMENS HEALTH CENTER PC

Obstetrics & Gynecology Physician
Valdosta Post Office, East Magnolia Street, Valdosta, Lowndes County, Georgia, 31601, United States
NPI: 1003821786

JERTHITIA S TAYLOR (MD)

Obstetrics & Gynecology Physician
Bemiss Road, Valdosta, Lowndes County, Georgia, 31645, United States
NPI: 1467468561

BRIAN S CHADWICK (MD)

Obstetrics & Gynecology Physician
2125 PINECLIFF DR
NPI: 1336152230

PAMELA H TEMPLES (MD)

Obstetrics & Gynecology Physician
814 NORTHWOOD PARK DR
NPI: 1740366442

ALEXANDER M III CULBRETH (MD)

Obstetrics & Gynecology Physician
Florida Institute for Reproductive Medicine, 220, Northside Drive, Joree Springs, Valdosta, Lowndes County, Georgia, 31602, United States
NPI: 1447336185

JOE C CLIFTON (MD)

Obstetrics & Gynecology Physician
Florida Institute for Reproductive Medicine, 220, Northside Drive, Joree Springs, Valdosta, Lowndes County, Georgia, 31602, United States
NPI: 1255417994

SARA N YARBROUGH (DO)

Obstetrics & Gynecology Physician
Florida Institute for Reproductive Medicine, 220, Northside Drive, Joree Springs, Valdosta, Lowndes County, Georgia, 31602, United States
NPI: 1437235199