Unknown Individual – Clinical Neuropsychologist, NPI 1255677605

Unknown Individual is a healthcare provider. based in Augusta, Georgia. specializing in Clinical Neuropsychologist. The NPI Number for Unknown Individual is 1255677605

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1255677605
Phone
(706) 823-5250
Address
1355 INDEPENDENCE DR
Deactivation Date
13 October 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1355 INDEPENDENCE DR

    AUGUSTA, GA 309011037

    Phone: (706) 823-5250

    Fax: (706) 823-5266

    Type: Mailing

  • 639 13TH ST

    AUGUSTA, GA 309011007

    Phone: (706) 823-5250

    Fax: (706) 823-5266

    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

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 30901)

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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 1255677605.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Clinical Neuropsychologist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Augusta, Georgia as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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