Unknown Individual – Diagnostic Radiology Physician, NPI 1548208747

Unknown Individual is a healthcare provider. based in Thomaston, Georgia. specializing in Diagnostic Radiology Physician. They hold a License No. 047225 (GA). The NPI Number for Unknown Individual is 1548208747

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1548208747
Phone
(706) 647-8111
Address
801 WEST GORDON STREET
Deactivation Date
16 June 2021
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

  • Upson Regional Medical Center, 801, West Gordon Street, Thomaston, Upson County, Georgia, 30286, United States

    THOMASTON, GA 302863426

    Phone: (706) 647-8111

    Fax: (706) 647-4389

    Mailing address matches the actual address.

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 30286)

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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 1548208747 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is Unknown Individual registered?
Use Thomaston, Georgia as the headline location for Unknown Individual here.
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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