Unknown Individual – Pediatrics Physician, NPI 1063546737

Unknown Individual is a healthcare provider. based in Hinesville, Georgia. specializing in Pediatrics Physician. They hold a License No. 9401032 (NC). The NPI Number for Unknown Individual is 1063546737

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063546737
Phone
(912) 369-9400
Address
PO BOX 919
Deactivation Date
24 November 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 919

    HINESVILLE, GA 313100919

    Phone: (912) 369-9400

    Type: Mailing

  • 462 ELMA G MILES PKWY

    HINESVILLE, GA 313134000

    Phone: (912) 369-9400

    Fax: (912) 877-9438

    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 31310)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1063546737 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Hinesville, Georgia for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.