Unknown Individual – General Practice Physician, NPI 1366687774

Unknown Individual is a healthcare provider. based in Clayton, Georgia. specializing in General Practice Physician. They hold a License No. 018692 (GA). The NPI Number for Unknown Individual is 1366687774

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366687774
Phone
(706) 782-0468
Address
PO BOX 906
Deactivation Date
15 November 2024
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

  • PO BOX 906

    CLAYTON, GA 305250023

    Phone: (706) 782-0468

    Fax: (706) 782-1488

    Type: Mailing

  • 773, North Main Street, Elkader, Clayton County, Iowa, 52043, United States

    CLAYTON, GA 305254257

    Phone: (706) 782-0468

    Fax: (706) 782-1488

    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 30525)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1366687774.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows General Practice Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Clayton, Georgia. Check all listed addresses for suites or satellite offices.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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