Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1619086253

Unknown Individual is a healthcare provider. based in Augusta, Georgia. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 24079579 (VA). The NPI Number for Unknown Individual is 1619086253

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1619086253
Phone
Not provided
Address
804 SCOTT NIXON MEMORIAL DR
Deactivation Date
11 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

Loading map...

Provider Addresses for Unknown Individual

  • 804, Scott Nixon Memorial Drive, Augusta, Richmond County, Georgia, 30907, United States

    AUGUSTA, GA 309072464

    Phone:

    Type: Mailing

  • Prince William Medical Center, 8700, Sudley Road, Country Place, Manassas, Manassas (city), Virginia, 20110, United States

    MANASSAS, VA 201104418

    Phone: (703) 392-6199

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 30907)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1619086253.
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 Certified Registered Nurse Anesthetist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Augusta, Georgia for Unknown Individual; expand the address list for detail.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

TAMMY MAHROOS (CRNA)

Certified Registered Nurse Anesthetist
Scott Nixon Memorial Drive, Foxhall, Augusta, Richmond County, Georgia, 30907, United States
NPI: 1235132093

CAROLYN MASTRONI (CRNA)

Certified Registered Nurse Anesthetist
Scott Nixon Memorial Drive, Foxhall, Augusta, Richmond County, Georgia, 30907, United States
NPI: 1316940166

JANET SEGEN (CRNA)

Certified Registered Nurse Anesthetist
Scott Nixon Memorial Drive, Foxhall, Augusta, Richmond County, Georgia, 30907, United States of America
NPI: 1083617831

RUTH C PERRY (CRNA)

Certified Registered Nurse Anesthetist
Scott Nixon Memorial Drive, Foxhall, Augusta, Richmond County, Georgia, 30907, United States of America
NPI: 1003819871

MARCIA EVANS (CRNA)

Certified Registered Nurse Anesthetist
Scott Nixon Memorial Drive, Foxhall, Augusta, Richmond County, Georgia, 30907, United States of America
NPI: 1841293602

KRISTIN M. GERAGHTY (CRNA)

Certified Registered Nurse Anesthetist
Inova Schar Heart and Vascular, 3300, Gallows Road, Falls Church, Fairfax County, Virginia, 22042, United States
NPI: 1043207780

JAMES P MANDERLE (MD)

Certified Registered Nurse Anesthetist
804, Scott Nixon Memorial Drive, Augusta, Richmond County, Georgia, 30907, United States
NPI: 1013905769

MRS. JOANNE DILACQUA (CRNA)

Certified Registered Nurse Anesthetist
Capital Health Medical Center - Hopewell, 1, Capital Way, Pennington, Mercer County, New Jersey, 08534, United States
NPI: 1366430514
Box Turtle Run, Augusta Acres, Greenville County, South Carolina, 29636, United States
NPI: 1730179920