Unknown Individual – Nurse Practitioner, NPI 1184207573

Unknown Individual is a healthcare provider. based in Colquitt, Georgia. specializing in Nurse Practitioner. They hold a License No. RN185702 (GA). The NPI Number for Unknown Individual is 1184207573

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1184207573
Phone
(229) 400-0702
Address
213 MAYHAW RD
Deactivation Date
2 October 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 213 MAYHAW RD

    COLQUITT, GA 398377201

    Phone: (229) 400-0702

    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)

CMS reports 19 Open Payments records for all available years, with a total value of $392.

Total Amount is formed as General ($392) + Research ($0) + Ownership ($0) = $392.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: ABBVIE INC. ($171).

Total Amount

$392

General + Research + Ownership

Payments

19

Total payment records

General Amount

$392

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3927$0
99213Established patient office or other outpatient visit, 20-29 minutes1813$0
View full utilization report →

Insurance plans in this area (ZIP 39837)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1184207573 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Colquitt, Georgia in the same public data insurers reference.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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