Unknown Individual – Pediatrics Physician, NPI 1972579134

Unknown Individual is a healthcare provider. based in Macon, Georgia. specializing in Pediatrics Physician. They hold a License No. 026671 (GA). The NPI Number for Unknown Individual is 1972579134

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1972579134
Phone
(478) 633-7600
Address
744 1ST ST
Deactivation Date
25 October 2021
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

  • 744, 1st Street, Macon, Bibb County, Georgia, 31201, United States

    MACON, GA 312016840

    Phone: (478) 633-7600

    Fax: (478) 633-7354

    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.

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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 31201)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1972579134?
NPI 1972579134 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is Unknown Individual registered?
Use Macon, Georgia as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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