Unknown Individual – Neurology Physician, NPI 1356453914

Unknown Individual is a healthcare provider. based in Valdosta, Georgia. specializing in Neurology Physician. They hold a License No. 025895 (GA). The NPI Number for Unknown Individual is 1356453914

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1356453914
Phone
(229) 242-1234
Address
4274 N VALDOSTA RD
Deactivation Date
25 December 2025
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

  • North Valdosta Road, Five Points, Valdosta, Lowndes County, Georgia, 31602, United States

    VALDOSTA, GA 316026814

    Phone: (229) 242-1234

    Fax: (229) 247-8110

    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)

CMS reports 218 Open Payments records for all available years, with a total value of $5,107.

Total Amount is formed as General ($5,107) + Research ($0) + Ownership ($0) = $5,107.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: ABBVIE INC. ($534).

Total Amount

$5,107

General + Research + Ownership

Payments

218

Total payment records

General Amount

$5,107

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes381223$0
95886Needle measurement of electrical activity in arm or leg muscles, complete study12477$0
95816Measurement of brain wave activity (eeg), awake and drowsy6159$0
99204New patient office or other outpatient visit, 45-59 minutes6060$0
95911Nerve conduction, 9-10 studies4646$0
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Insurance plans in this area (ZIP 31602)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1356453914 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Neurology Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Valdosta, Georgia may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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