Unknown Individual – Physician Assistant, NPI 1942346507

Unknown Individual is a healthcare provider. based in Martinez, Georgia. specializing in Physician Assistant. The NPI Number for Unknown Individual is 1942346507

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1942346507
Phone
(706) 868-6015
Address
3630 POINT COMFORT CLUB RD
Deactivation Date
15 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 3630 POINT COMFORT CLUB RD

    MARTINEZ, GA 309079093

    Phone: (706) 868-6015

    Fax: (706) 364-8374

    Type: Mailing

  • 128 N HOSPITAL RD

    CT SURGERY, 2ND FL CARDIOLOGY

    FT. GORDON, GA 30905

    Phone: (706) 787-9231

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 30907)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1942346507.
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 Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Martinez, Georgia. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

JERRIE D FREEMAN (PA)

Physician Assistant
290 YUMA TRL
NPI: 1275535437

JANET ADAMS LESCANTZ (PT)

Physician Assistant
4315 THRUSH CT
NPI: 1861453615

STEPHANIE K FENNEMA (PA-C)

Physician Assistant
3813 OLD PORT ROYAL RD N
NPI: 1194751792

MR. MICHAEL ADAM (PA)

Physician Assistant
1168, West Martintown Road, North Augusta, Aiken County, South Carolina, 29841, United States
NPI: 1699884957

DONALD JOE CLAY (PA)

Physician Assistant
Charlie Norwood VA Medical Center - Uptown Division, 1, Freedom Way, King Estates, Augusta, Richmond County, Georgia, 30904, United States
NPI: 1306945332
455, Cambridge Way, Village at Watervale, Westlake, Martinez, Columbia County, Georgia, 30907, United States
NPI: 1649348178
Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States
NPI: 1083823801

ON CALL STAFFING, LLC

Nursing Care Agency
4236, Columbia Road, Pinewood, Shady Grove Estates, Evans, Columbia County, Georgia, 30907, United States
NPI: 1801124920