Unknown Individual – Psychiatry Physician, NPI 1942302013

Unknown Individual is a healthcare provider. based in Gainesville, Georgia. specializing in Psychiatry Physician. They hold a License No. 10543 (GA). The NPI Number for Unknown Individual is 1942302013

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1942302013
Phone
(770) 287-5387
Address
PO BOX 908504
Deactivation Date
3 April 2025
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

  • PO BOX 908504

    GAINESVILLE, GA 305010924

    Phone: (770) 287-5387

    Fax: (770) 532-9414

    Type: Mailing

  • 1700, Blue Ridge Drive Northeast, Gainesville, Hall County, Georgia, 30501, United States

    GAINESVILLE, GA 305011208

    Phone: (770) 287-5387

    Fax: (770) 532-9414

    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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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.

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

Insurance plans in this area (ZIP 30501)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1942302013.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Gainesville, Georgia?
For routing, start with Gainesville, Georgia for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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