Unknown Individual – Family Medicine Physician, NPI 1053479501

Unknown Individual is a healthcare provider. based in Royston, Georgia. specializing in Family Medicine Physician. They hold a License No. 014899 (GA). The NPI Number for Unknown Individual is 1053479501

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053479501
Phone
(706) 245-6177
Address
819 CHURCH ST
Deactivation Date
3 April 2025
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

  • 819, Church Street, Royston, Franklin County, Georgia, 30662, United States

    ROYSTON, GA 306624434

    Phone: (706) 245-6177

    Fax: (706) 245-6242

    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 30662)

Loading plans...

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

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1053479501.
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 Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is Unknown Individual registered?
Use Royston, Georgia as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

MR. ERROL DUNCAN (MD)

Family Medicine Physician
PO BOX 529
NPI: 1023051539

DR. BRUNO OSCAR DENIS (MD)

Family Medicine Physician
PO BOX 529
NPI: 1679519235

NABATANZI AGNES BEWAYO (M.D.)

Family Medicine Physician
930 Franklin Springs St
NPI: 1861576761

MR. JULIAN DOUGLAS SHARPTON (MD)

Family Medicine Physician
891 CHURCH STREET
NPI: 1215005053

DAVID MICHAEL HARRIS (MD)

Family Medicine Physician
819, Church Street, Royston, Franklin County, Georgia, 30662, United States
NPI: 1619035169

ROYSTON MEDICAL ASSOCIATES PC

Family Medicine Physician
819, Church Street, Royston, Franklin County, Georgia, 30662, United States
NPI: 1245377662

Broad Street Reddy Medical Group

Internal Medicine Physician
PO BOX 529
NPI: 1427184654

DR. SON THANH NGUYEN (M.D.)

Family Medicine Physician
132, Franklin Springs Street, Royston, Franklin County, Georgia, 30662, United States
NPI: 1639379746