Unknown Individual – Physician Assistant, NPI 1891208658
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
655 7th St
Robins AFB, GA 310982227
Phone: (478) 327-7850
Type: Location
4305 REVERE RD
ENID, OK 737031371
Phone: (570) 561-4855
Type: Mailing
305 S 5TH ST
ENID, OK 737015832
Phone: (580) 289-0272
Type: Location
337 SAVANNAH HWY APT 1030
BEAUFORT, SC 299066784
Phone: (570) 561-4855
Type: Mailing
1 PINCKNEY BLVD
BEAUFORT, SC 299026122
Phone: (843) 228-3671
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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.
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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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 25 | 22 | $0 |
Insurance plans in this area (ZIP 31098)
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