Unknown Individual – Psychiatry Physician, NPI 1255510772

Unknown Individual is a healthcare provider. based in Swainsboro, Georgia. specializing in Psychiatry Physician. They hold a License No. 009628 (GA). The NPI Number for Unknown Individual is 1255510772

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1255510772
Phone
(478) 289-1100
Address
125C VICTORY DR
Deactivation Date
5 March 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

  • 125, Victory Drive, Swainsboro, Emanuel County, Georgia, 30401, United States

    SWAINSBORO, GA 304013234

    Phone: (478) 289-1100

    Fax: (478) 289-1190

    Type: Location

  • PO BOX 879

    SWAINSBORO, GA 304010879

    Phone:

    Type: Mailing

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

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 30401)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1255510772.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Psychiatry Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Swainsboro, Georgia. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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