Unknown Individual – Neurological Surgery Physician, NPI 1306820501

Unknown Individual is a healthcare provider. based in Rome, Georgia. specializing in Neurological Surgery Physician. They hold a License No. 031941 (GA). The NPI Number for Unknown Individual is 1306820501

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1306820501
Phone
(706) 295-5331
Address
1825 MARTHA BERRY BLVD NW
Deactivation Date
10 January 2022
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

  • Martha Berry Boulevard, DeSoto Homes, Rome, Floyd County, Georgia, 30149, United States

    ROME, GA 301651625

    Phone: (706) 295-5331

    Type: Mailing

  • 550, Redmond Road, Mount Berry, Rome, Floyd County, Georgia, 30165, United States

    ROME, GA 301651416

    Phone: (706) 233-8512

    Fax: (706) 233-8513

    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.

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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 30165)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1306820501 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Neurological Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Rome, 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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