Unknown Individual – Family Medicine Physician, NPI 1629417134

Unknown Individual is a healthcare provider. based in Colquitt, Georgia. specializing in Family Medicine Physician. They hold a License No. OS15418 (FL). The NPI Number for Unknown Individual is 1629417134

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629417134
Phone
(816) 341-3257
Address
PO BOX 7
Deactivation Date
20 December 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 7

    COLQUITT, GA 398370007

    Phone: (816) 341-3257

    Type: Mailing

  • MILLER COUNTY MEDICAL CENTER

    208 N. CUTHBERT STREET

    COLQUITT, GA 39837

    Phone: (816) 341-3257

    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 39837)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1629417134 for Unknown Individual.
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 type of care does Unknown Individual provide?
Unknown Individual's profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Colquitt, Georgia. Check all listed addresses for suites or satellite offices.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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