Unknown Individual – Anatomic Pathology Physician, NPI 1609987379

Unknown Individual is a healthcare provider. based in Augusta, Georgia. specializing in Anatomic Pathology Physician. They hold a License No. 014762 (GA). The NPI Number for Unknown Individual is 1609987379

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1609987379
Phone
(706) 724-6100
Address
1499 WALTON WAY
Deactivation Date
7 May 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

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

    STE 1400

    AUGUSTA, GA 309012602

    Phone: (706) 724-6100

    Fax: (706) 722-5187

    Type: Mailing

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

    AUGUSTA, GA 309120004

    Phone: (706) 721-2771

    Fax: (706) 721-7781

    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 30901)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1609987379.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Anatomic Pathology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Augusta?
Unknown Individual currently maps to Augusta, Georgia in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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