Unknown Individual – Internal Medicine Physician, NPI 1255940284

Internal Medicine Physician

Unknown Individual is a healthcare provider. based in Rincon, Georgia. specializing in Internal Medicine Physician. The NPI Number for Unknown Individual is 1255940284

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1255940284

Phone

Not provided

Address

302 W 5TH ST

Deactivation Date

10 December 2021

Data current as of

19 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

302 W 5TH ST
RINCON, GA 313268801
Phone:
Fax: (201) 831-9100
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.

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 31326)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?

In the U.S., Unknown Individual is identified by NPI 1255940284.

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.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.

Which community is linked to Unknown Individual?

Unknown Individual shows a connection to Rincon, Georgia in registry-derived data.

Can I export Unknown Individual's record?

You can download the official NPPES record; we summarize key fields for readability.