Unknown Individual – Counselor, NPI 1336388024

Unknown Individual is a healthcare provider. based in Augusta, Georgia. specializing in Counselor. They hold a License No. MSW000689 (GA). The NPI Number for Unknown Individual is 1336388024

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1336388024
Phone
(706) 855-0563
Address
3633 WHEELER RD
Deactivation Date
5 February 2026
Data current as of
20 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

  • 3633, Wheeler Road, Augusta, Richmond County, Georgia, 30909, United States

    SUITE 210

    AUGUSTA, GA 309096549

    Phone: (706) 855-0563

    Fax: (706) 855-0924

    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 30909)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1336388024 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Counselor. Clinical services aligned with this taxonomy classification.
Where in Georgia is Unknown Individual registered?
Use Augusta, Georgia as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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