Unknown Individual – Gynecology Physician, NPI 1639285547

Unknown Individual is a healthcare provider. based in Gainesville, Georgia. specializing in Gynecology Physician. They hold a License No. GA28411 (GA). The NPI Number for Unknown Individual is 1639285547

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639285547
Phone
(770) 538-0626
Address
2049 BEVERLY ROAD
Deactivation Date
1 June 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

Loading map...

Provider Addresses for Unknown Individual

  • 2049, Beverly Road, Gainesville, Hall County, Georgia, 30501, United States

    GAINESVILLE, GA 305012034

    Phone: (770) 538-0626

    Fax: (770) 535-1180

    Mailing address matches the actual address.

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 30501)

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

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1639285547.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Gainesville, Georgia may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

Lighthouse Manor Road, Woodlake, Gainesville, Hall County, Georgia, 30501, United States
NPI: 1457348120

ROSS LANG JACOBSON (MD)

Gynecology Physician
1270 Friendship Rd
NPI: 1518947456

JANET GODDARD BOONE (MD)

Gynecology Physician
PO BOX 658
NPI: 1376523373

KARIN DIPIETRO DILLARD (MD)

Gynecology Physician
743 Spring St NE
NPI: 1659351906

THOMAS EARLE SHOLES (MD)

Gynecology Physician
Longstreet Cancer Center, 725, Jesse Jewell Parkway Southeast, Gainesville, Hall County, Georgia, 30501, United States
NPI: 1215907365

THE LONGSTREET CLINIC, PC

Internal Medicine Physician
Longstreet Cancer Center, 725, Jesse Jewell Parkway Southeast, Gainesville, Hall County, Georgia, 30501, United States
NPI: 1326019977

HOLLY M LOESCH (MD)

Gynecology Physician
5716 W 95th St
NPI: 1871519330

DR. LEIGH ANN SAUNDERS (M.D.)

Obstetrics & Gynecology Physician
440 WASHINGTON ST SE
NPI: 1710098942