Unknown Individual – Gastroenterology Physician, NPI 1609843408

Unknown Individual is a healthcare provider. based in Augusta, Georgia. specializing in Gastroenterology Physician. They hold a License No. 19633 (GA). The NPI Number for Unknown Individual is 1609843408

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1609843408
Phone
(706) 860-6030
Address
PO BOX 14220
Deactivation Date
21 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

  • PO BOX 14220

    AUGUSTA, GA 309190220

    Phone: (706) 860-6030

    Fax: (706) 868-8507

    Type: Mailing

  • Interstate Parkway, Augusta, Richmond County, Georgia, 30990, United States

    AUGUSTA, GA 309096481

    Phone: (706) 860-6030

    Fax: (706) 868-8507

    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

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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 30919)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1609843408 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Augusta, Georgia; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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