Unknown Individual – Psychiatry Physician, NPI 1972549749

Unknown Individual is a healthcare provider. based in Warner robins, Georgia. specializing in Psychiatry Physician. They hold a License No. 52170 (GA). The NPI Number for Unknown Individual is 1972549749

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1972549749
Phone
(478) 751-2580
Address
300 MARGIE DR
Deactivation Date
15 May 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

  • 300, Margie Drive, Warner Robins, Houston County, Georgia, 31088, United States

    WARNER ROBINS, GA 310887817

    Phone: (478) 751-2580

    Fax: (478) 953-6727

    Type: Mailing

  • 404, Corder Road, Wrights Mill, Warner Robins, Houston County, Georgia, 31088, United States

    SUITE 100

    WARNER ROBINS, GA 310883702

    Phone: (478) 322-1113

    Fax: (478) 322-1114

    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

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.

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

Insurance plans in this area (ZIP 31088)

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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 1972549749.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Warner Robins, Georgia in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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