Unknown Individual – Family Medicine Physician, NPI 1396718748

Unknown Individual is a healthcare provider. based in Thomasville, Georgia. specializing in Family Medicine Physician. They hold a License No. 012188 (GA). The NPI Number for Unknown Individual is 1396718748

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1396718748
Phone
(229) 226-4634
Address
1815 E CLAY ST
Deactivation Date
1 June 2024
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

  • 1815, East Clay Street, Thomasville, Thomas County, Georgia, 31792, United States

    THOMASVILLE, GA 317924736

    Phone: (229) 226-4634

    Type: Location

  • 1633, Millpond Road, Thomasville, Thomas County, Georgia, 31792, United States

    THOMASVILLE, GA 317927457

    Phone: (229) 226-7924

    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.

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 31792)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1396718748.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Thomasville?
Public fields place Unknown Individual around Thomasville, Georgia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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