Unknown Individual – Pediatric Hematology & Oncology Physician, NPI 1780617175

Unknown Individual is a healthcare provider. based in Macon, Georgia. specializing in Pediatric Hematology & Oncology Physician. They hold a License No. TD061057 (ME). The NPI Number for Unknown Individual is 1780617175

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1780617175
Phone
(478) 477-1716
Address
191 RIVOLI LNDG
Deactivation Date
27 March 2024
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

  • 191 RIVOLI LNDG

    MACON, GA 312108633

    Phone: (478) 477-1716

    Type: Mailing

  • Eastern Maine Medical Center, 489, State Street, Bangor, Penobscot County, Maine, 04401, United States

    BANGOR, ME 044016616

    Phone: (207) 973-7556

    Fax: (207) 973-7674

    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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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31210)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1780617175 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Pediatric Hematology & Oncology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Macon?
Unknown Individual currently maps to Macon, Georgia in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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