Unknown Individual – Gastroenterology Physician, NPI 1568442002

Unknown Individual is a healthcare provider. based in Jasper, Georgia. specializing in Gastroenterology Physician. They hold a License No. 012034 (GA). The NPI Number for Unknown Individual is 1568442002

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1568442002
Phone
(770) 894-4194
Address
288 STARCROSS LANE
Deactivation Date
5 March 2026
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

Provider Addresses for Unknown Individual

  • 288 STARCROSS LANE

    PO BOX 20894

    JASPER, GA 30143

    Phone: (770) 894-4194

    Type: Mailing

  • 9 PHYSICIAN DRIVE

    JACKSON, TN 38301

    Phone: (731) 616-5332

    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.

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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 30143)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1568442002 for Unknown Individual.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Gastroenterology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Jasper, Georgia?
If you are local to Jasper, Georgia, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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