Unknown Individual – Multi-Specialty Clinic/Center, NPI 1366905481

Unknown Individual is a healthcare provider. based in Lagrange, Georgia. specializing in Multi-Specialty Clinic/Center. The NPI Number for Unknown Individual is 1366905481

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366905481
Phone
(706) 298-4914
Address
900 DALLIS ST
Deactivation Date
18 November 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 900 DALLIS ST

    LAGRANGE, GA 302404401

    Phone: (706) 298-4914

    Type: Location

  • International Parkway, Lake Mary, Seminole County, Florida, 32746, United States

    LAKE MARY, FL 327465049

    Phone: (800) 941-0644

    Type: Mailing

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 30240)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1366905481 — 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 best known for clinically?
Directory data describes Unknown Individual with Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Lagrange, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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