Unknown Individual – Registered Nurse, NPI 1568790145

Unknown Individual is a healthcare provider. based in Saint marys, Georgia. specializing in Registered Nurse. They hold a License No. RN028722 (GA). The NPI Number for Unknown Individual is 1568790145

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1568790145
Phone
(912) 882-8515
Address
905 DILWORTH ST
Deactivation Date
29 May 2025
Data current as of
20 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

  • 905, Dilworth Street, Saint Marys, Camden County, Georgia, 31558, United States

    SAINT MARYS, GA 315588695

    Phone: (912) 882-8515

    Fax: (912) 882-2072

    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.

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 31558)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1568790145 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Registered Nurse for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Georgia?
You will see Saint Marys, Georgia on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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