Unknown Individual – Nurse Practitioner, NPI 1295762524

Unknown Individual is a healthcare provider. based in Jesup, Georgia. specializing in Nurse Practitioner. They hold a License No. RN023113 (GA). The NPI Number for Unknown Individual is 1295762524

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1295762524
Phone
(912) 427-2042
Address
PO BOX 100
Deactivation Date
6 March 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 100

    JESUP, GA 315980100

    Phone: (912) 427-2042

    Fax: (912) 427-5880

    Type: Mailing

  • Wayne County Health Department, 240, Peachtree Street, Jesup, Wayne County, Georgia, 31545, United States

    JESUP, GA 315450212

    Phone: (912) 427-2042

    Fax: (912) 427-5880

    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.

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 31598)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1295762524 when you need to reference Unknown Individual in forms, claims, or directories.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Jesup, Georgia for Unknown Individual; expand the address list for detail.
What if Jesup, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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