Unknown Individual – Family Medicine Physician, NPI 1093798522
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Unknown Individual
Northside Forsyth Drive, Cumming, Forsyth County, Georgia, 30041, United States
SUITE 200
CUMMING, GA 300417668
Phone: (770) 781-8004
Fax: (678) 679-4053
Type: Mailing
Cumming Park & Ride, Deputy Bill Cantrell Memorial Road, Forsyth County, Georgia, 30041, United States
SUITE 150
CUMMING, GA 30040
Phone: (770) 781-8004
Fax: (678) 679-4053
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $454.
Total Amount is formed as General ($454) + Research ($0) + Ownership ($0) = $454.
Last reported payment date: 2023-08-24 • Largest payer in this snapshot: ABBVIE INC. ($147).
Total Amount
$454
General + Research + Ownership
Payments
28
Total payment records
General Amount
$454
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $147 |
| Astellas Pharma US Inc | $117 |
| PFIZER INC. | $60 |
| Lilly USA, LLC | $39 |
| GlaxoSmithKline, LLC. | $23 |
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 | 549 | 450 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 260 | 260 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 194 | 194 | $0 |
| 81003 | Automated urinalysis test | 185 | 178 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 118 | 114 | $0 |
Insurance plans in this area (ZIP 30041)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.