Unknown Individual – Psychiatry Physician, NPI 1205848280

Unknown Individual is a healthcare provider. based in Milledgeville, Georgia. specializing in Psychiatry Physician. They hold a License No. 028926 (GA). The NPI Number for Unknown Individual is 1205848280

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205848280
Phone
(478) 445-4128
Address
620 BROAD ST
Deactivation Date
15 March 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

  • Broad Street, Milledgeville, Baldwin County, Georgia, 33106, United States

    CENTRAL STATE HOSPITAL

    MILLEDGEVILLE, GA 310627525

    Phone: (478) 445-4128

    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.

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

Insurance plans in this area (ZIP 31062)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1205848280 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Milledgeville?
Unknown Individual currently maps to Milledgeville, Georgia in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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