Unknown Individual – Surgery Physician, NPI 1902808967

Unknown Individual is a healthcare provider. based in Hazlehurst, Georgia. specializing in Surgery Physician. They hold a License No. 029928 (GA). The NPI Number for Unknown Individual is 1902808967

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902808967
Phone
(912) 379-9380
Address
9 HESTER ST
Deactivation Date
23 June 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Hester Street, Hazlehurst, Jeff Davis County, Georgia, 31539, United States

    HAZLEHURST, GA 315396323

    Phone: (912) 379-9380

    Fax: (912) 379-9382

    Mailing address matches the actual address.

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.

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 31539)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1902808967 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Surgery Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Hazlehurst, Georgia for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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