Unknown Individual – Surgery Physician, NPI 1548240674

Unknown Individual is a healthcare provider. based in Thomasville, Georgia. specializing in Surgery Physician. They hold a License No. 012570 (GA). The NPI Number for Unknown Individual is 1548240674

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1548240674
Phone
(229) 226-8881
Address
100 MIMOSA DRIVE
Deactivation Date
9 August 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 100, Mimosa Drive, Fletcherville, Thomasville, Thomas County, Georgia, 31792, United States

    THOMASVILLE, GA 31792

    Phone: (229) 226-8881

    Fax: (229) 225-2165

    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 31792)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1548240674 if you need a stable reference for Unknown Individual.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Thomasville, Georgia because that is what the record indicates for Unknown Individual.
What if Thomasville, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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