Unknown Individual – Orthopaedic Surgery Physician, NPI 1174523419

Unknown Individual is a healthcare provider. based in Augusta, Georgia. specializing in Orthopaedic Surgery Physician. They hold a License No. 11309 (GA). The NPI Number for Unknown Individual is 1174523419

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174523419
Phone
(706) 863-9797
Address
PO BOX 14039
Deactivation Date
19 February 2026
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

  • PO BOX 14039

    AUGUSTA, GA 309190039

    Phone: (706) 863-9797

    Fax: (706) 868-9209

    Type: Mailing

  • 3650, J Dewey Gray Circle, Augusta, Richmond County, Georgia, 30909, United States

    AUGUSTA, GA 309091867

    Phone: (706) 863-9797

    Fax: (706) 868-9209

    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.

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Medicare Enrollment & Revalidation

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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)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30919)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1174523419.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Augusta, Georgia; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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