Unknown Individual – Orthopaedic Surgery Physician, NPI 1093787509

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Orthopaedic Surgery Physician. They hold a License No. 23481 (SC). The NPI Number for Unknown Individual is 1093787509

Main info

Organization
Inactive
26 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1093787509
Phone
(864) 234-9900
Address
PO BOX 743294
Deactivation Date
6 March 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
8642349900
Graduation Year
2000 (26 years ago)
PAC ID
4284663840
Group Practice PAC ID
6608826821
Professional Enrollment ID
I20050804000706
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

Provider Addresses for Unknown Individual

  • PO BOX 743294

    ATLANTA, GA 303743294

    Phone: (864) 234-9900

    Fax: (864) 234-9090

    Type: Mailing

  • 209 PATEWOOD DR STE 200

    GREENVILLE, SC 296153589

    Phone: (864) 234-9900

    Fax: (864) 234-9090

    Type: Location

  • 6029 Walnut Grove Rd Ste 403

    Memphis, TN 381202112

    Phone: (901) 261-7836

    Fax: (901) 226-0215

    Type: Location

  • 7900 Airways Blvd Bldg B102

    Southaven, MS 386714118

    Phone: (662) 548-2965

    Fax: (662) 349-9023

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg42875$0
99213Established patient office or other outpatient visit, 20-29 minutes147116$0
20610Aspiration and/or injection of fluid from large joint13778$0
99203New patient office or other outpatient visit, 30-44 minutes6767$0
73562X-ray of knee, 3 views5654$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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Provider's Procedures

Unknown Individual performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYSC64721Release and/or relocation of median nerve of hand1817
ORTHOPEDIC SURGERYSC73562X-ray of knee, 3 views149114

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: 6608826821View full group profile

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1093787509 — the number used across U.S. healthcare to identify this provider.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Orthopaedic Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Atlanta, Georgia as the reference point for Unknown Individual, then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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