Unknown Individual – Emergency Medicine Physician, NPI 1265428890

Unknown Individual is a healthcare provider. based in Albany, Georgia. specializing in Emergency Medicine Physician. They hold a License No. ME70565 (FL). The NPI Number for Unknown Individual is 1265428890

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1265428890
Phone
(205) 437-6998
Address
PO BOX 408
Deactivation Date
15 November 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • PO BOX 408

    ALBANY, GA 317020408

    Phone: (205) 437-6998

    Fax: (205) 437-5998

    Type: Mailing

  • Phoebe Putney Memorial Hospital, 417, West 3rd Avenue, Albany, Dougherty County, Georgia, 31701, United States

    ALBANY, GA 317011943

    Phone: (229) 317-2207

    Fax: (229) 317-2214

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $694.

Total Amount is formed as General ($694) + Research ($0) + Ownership ($0) = $694.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: ABBVIE INC. ($694).

Total Amount

$694

General + Research + Ownership

Payments

9

Total payment records

General Amount

$694

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$694
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.

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

Insurance plans in this area (ZIP 31702)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1265428890.
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 specialty?
The listing groups Unknown Individual with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Albany, Georgia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

DR. ALFRED LEE WOODARD (MD)

Emergency Medicine Physician
Phoebe Putney Memorial Hospital, 417, 3rd Avenue West, Albany, Dougherty County, Georgia, 31701, United States
NPI: 1194710830

SOUTHWESTERN EMERGENCY PHYSICIANS PC

Emergency Medicine Physician
Phoebe Putney Memorial Hospital, 417, 3rd Avenue West, Albany, Dougherty County, Georgia, 31701, United States
NPI: 1356336986

DR. ANDREW GEORGE MISULIA (MD)

Emergency Medicine Physician
Phoebe Putney Memorial Hospital, 417, 3rd Avenue West, Albany, Dougherty County, Georgia, 31701, United States
NPI: 1023003654

DR. GOPALA KRISHNA DEREBAIL (MD)

Emergency Medicine Physician
Phoebe Putney Memorial Hospital, 417, 3rd Avenue West, Albany, Dougherty County, Georgia, 31701, United States
NPI: 1194710723

DR. SUCHETA GUPTA GARG (MD)

Emergency Medicine Physician
Phoebe Putney Memorial Hospital, 417, 3rd Avenue West, Albany, Dougherty County, Georgia, 31701, United States
NPI: 1336134964

DR. ELMERA V DEJARME (MD)

Emergency Medicine Physician
PO BOX 408
NPI: 1174519722

DR. WILLIAM E CHANDLER (MD)

Emergency Medicine Physician
Phoebe Putney Memorial Hospital, 417, 3rd Avenue West, Albany, Dougherty County, Georgia, 31701, United States
NPI: 1669468179

DR. JAMES ELVIN OWEN (MD)

Emergency Medicine Physician
Phoebe Putney Memorial Hospital, 417, 3rd Avenue West, Albany, Dougherty County, Georgia, 31701, United States
NPI: 1891781282

DR. MARK ANTHONY GAY (MD)

Emergency Medicine Physician
PO BOX 408
NPI: 1417943804