Unknown Individual – Physician Assistant, NPI 1881688935

Unknown Individual is a healthcare provider. based in Rome, Georgia. specializing in Physician Assistant. They hold a License No. 001543 (GA). The NPI Number for Unknown Individual is 1881688935

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1881688935
Phone
(706) 295-5331
Address
221 TECHNOLOGY PKWY NW
Deactivation Date
7 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

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Provider Addresses for Unknown Individual

  • 221, Technology Parkway, Berryhill, Rome, Floyd County, Georgia, 30165, United States

    ROME, GA 301651369

    Phone: (706) 295-5331

    Type: Mailing

  • 14, Cherokee Road, Cedartown, Polk County, Georgia, 30125, United States

    CEDARTOWN, GA 301254381

    Phone: (770) 749-9600

    Fax: (770) 749-9628

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $216.

Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.

Last reported payment date: 2024-06-29 • Largest payer in this snapshot: ABBVIE INC. ($216).

Total Amount

$216

General + Research + Ownership

Payments

19

Total payment records

General Amount

$216

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$216
View all Open Payments →|Open Payments Risk Radar →

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 30165)

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Provider's Procedures

Unknown Individual performs procedures in Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTGA83036Hemoglobin A1C level2523

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1881688935; it appears in the national provider directory.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Rome, Georgia for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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