Unknown Individual – Physician Assistant, NPI 1063500239

Unknown Individual is a healthcare provider. based in Newnan, Georgia. specializing in Physician Assistant. They hold a License No. 002258 (GA). The NPI Number for Unknown Individual is 1063500239

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063500239
Phone
(770) 251-5540
Address
51 HOSPITAL RD
Deactivation Date
24 May 2023
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

  • 51, Hospital Road, Newnan, Coweta County, Georgia, 30263, United States

    NEWNAN, GA 302631209

    Phone: (770) 251-5540

    Fax: (770) 251-5502

    Mailing address matches the actual address.

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 30263)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1063500239.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Georgia?
You will see Newnan, Georgia on file for Unknown Individual alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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