Unknown Individual – Infectious Disease Physician, NPI 1013953694

Infectious Disease Physician

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Infectious Disease Physician. They hold a License No. 58136 (GA). The NPI Number for Unknown Individual is 1013953694

Main info

Organization

Inactive

26 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1013953694

Phone

Not provided

Address

341 PONCE DE LEON AVE NE

Deactivation Date

20 September 2023

Doctor Profile

Medical School Name

UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE

Secondary Phone

4046161000

Graduation Year

2000 (26 years ago)

PAC ID

5890792618

Group Practice PAC ID

4981501814

Professional Enrollment ID

I20061108000384

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

Emory University Ponce De Leon Center, 341, Ponce de Leon Avenue Northeast, Atlanta, Georgia, 30308, United States
ATLANTA, GA 303082012
Phone:
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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99214	Established patient office or other outpatient visit, 30-39 minutes	14	14	$0

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Insurance plans in this area (ZIP 30308)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 4981501814View full group profile

Name	Specialty	State
DR. SHANNON WALKER IKE (MD)	Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine	CA
MICHAEL A WINKLER (M.D.)	Interventional Radiology, Diagnostic Radiology	KY
DR. JOANNA MIRIAM SCHINDLER (M.D.)	A N E S T H E S I O L O G Y	GA
EMAD QAYED (M.D.)	Gastroenterology, Internal Medicine	GA
DR. JOYCE T LEE (DDS, MD)	Oral Surgery, Maxillofacial Surgery	GA
NANETTE KASS WENGER (M.D.)	Cardiovascular Disease (Cardiology), Internal Medicine	GA
DR. PATRICK J. AMAR (M.D.)	P S Y C H I A T R Y	GA
SIDNEY ADAIR EASTERLING (PA)	Physician Assistant	GA
VALERIA DANIELA CANTOS LUCIO (MD)	Internal Medicine, Infectious Disease	GA
WOSSEN ADINEW ASFAW	Physician Assistant	GA

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?

You can confirm Unknown Individual with NPI 1013953694; it appears in the national provider directory.

Should I trust care from Unknown Individual if status is inactive?

An inactive NPI does not by itself prove someone stopped practicing — check other sources.

What does Unknown Individual treat or focus on?

Patients typically see Unknown Individual under the specialty Infectious Disease Physician. Clinical services aligned with this taxonomy classification.

Where does public data place Unknown Individual?

The snapshot lists Atlanta, Georgia for Unknown Individual; download NPPES for the complete set.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.