Unknown Individual – Family Nurse Practitioner, NPI 1356568398

Unknown Individual is a healthcare provider. based in Montezuma, Georgia. specializing in Family Nurse Practitioner. They hold a License No. RN039972 NP (GA). The NPI Number for Unknown Individual is 1356568398

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1356568398
Phone
(478) 472-8227
Address
207 CHARLES DR
Deactivation Date
25 September 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

Provider Addresses for Unknown Individual

  • 207 CHARLES DR

    MONTEZUMA, GA 310631812

    Phone: (478) 472-8227

    Fax: (478) 472-2500

    Type: Mailing

  • 110 CHATHAM ST

    OGLETHORPE, GA 31068

    Phone: (478) 472-8121

    Fax: (478) 472-2500

    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.

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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 31063)

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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 1356568398 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Montezuma, Georgia.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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