Unknown Individual – Pediatric Infectious Diseases Physician, NPI 1598875155

Unknown Individual is a healthcare provider. based in Augusta, Georgia. specializing in Pediatric Infectious Diseases Physician. They hold a License No. 018478 (GA). The NPI Number for Unknown Individual is 1598875155

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1598875155
Phone
(706) 828-8402
Address
1499 WALTON WAY
Deactivation Date
9 May 2022
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

  • 1499, Walton Way, Augusta, Richmond County, Georgia, 30901, United States

    STE 1400

    AUGUSTA, GA 309012602

    Phone: (706) 828-8402

    Type: Mailing

  • Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States

    AUGUSTA, GA 309120004

    Phone: (706) 721-4725

    Fax: (706) 721-6812

    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.

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 30901)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1598875155 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Pediatric Infectious Diseases Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Augusta, Georgia in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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