Unknown Individual – Physician Assistant, NPI 1093782856

Unknown Individual is a healthcare provider. based in Brunswick, Georgia. specializing in Physician Assistant. They hold a License No. 003966 (GA). The NPI Number for Unknown Individual is 1093782856

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1093782856
Phone
(912) 265-1212
Address
3226 HAMPTON AVE
Deactivation Date
29 May 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

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Provider Addresses for Unknown Individual

  • Hampton Avenue, Brunswick, Glynn County, Georgia, 31520, United States

    SUITE G

    BRUNSWICK, GA 315204225

    Phone: (912) 265-1212

    Fax: (912) 265-2859

    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.

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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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional37078$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus11526$0
90756Influenza vaccine, quadrivalent derived from cell cultures2828$0
G0008Administration of influenza virus vaccine2828$0
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Insurance plans in this area (ZIP 31520)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1093782856 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Brunswick, Georgia for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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