Unknown Individual – Family Medicine Physician, NPI 1467439968

Unknown Individual is a healthcare provider. based in Tifton, Georgia. specializing in Family Medicine Physician. They hold a License No. 11782 (GA). The NPI Number for Unknown Individual is 1467439968

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1467439968
Phone
(229) 353-3422
Address
907 18TH ST E
Deactivation Date
27 November 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

  • Tift Regional Health System Physicians Center, 907, 18th Street East, Tifton, Tift County, Georgia, 31794, United States

    SUITE 150

    TIFTON, GA 317943643

    Phone: (229) 353-3422

    Type: Mailing

  • 416, East McPherson Avenue, Nashville, Berrien County, Georgia, 31639, United States

    NASHVILLE, GA 316392275

    Phone: (229) 686-2093

    Fax: (229) 686-7150

    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.

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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 31794)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1467439968?
NPI 1467439968 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is Unknown Individual registered?
Use Tifton, Georgia as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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