Unknown Individual – Case Manager/Care Coordinator, NPI 1205152246

Unknown Individual is a healthcare provider. based in Petersburg, Virginia. specializing in Case Manager/Care Coordinator. They hold a License No. 1203788 (VA). The NPI Number for Unknown Individual is 1205152246

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205152246
Phone
(804) 590-9878
Address
9619 GRAVES RD
Deactivation Date
8 September 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 9619 GRAVES RD

    PETERSBURG, VA 238031128

    Phone: (804) 590-9878

    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 23803)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1205152246 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Case Manager/Care Coordinator. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Petersburg, Virginia?
For routing, start with Petersburg, Virginia for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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