Unknown Individual – Emergency Medicine Physician, NPI 1134233620
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
3950 Austell Rd
Austell, GA 301061121
Phone: (770) 732-4000
Type: Location
5665, New Northside Drive Northwest, Atlanta, Georgia, 30328, United States
SUITE 320
ATLANTA, GA 303285831
Phone: (770) 874-5400
Fax: (770) 874-5469
Type: Mailing
Austell Road, Austell, Cobb, Georgia, 30106, United States
AUSTELL, GA 301061121
Phone: (770) 732-4000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $77.
Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.
Last reported payment date: 2023-03-13 • Largest payer in this snapshot: Dexcom, Inc. ($18).
Total Amount
$77
General + Research + Ownership
Payments
5
Total payment records
General Amount
$77
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
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 30106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | FL | |
| Emergency Medicine | SC | |
| Physician Assistant | NC | |
| - | GA | |
| Emergency Medicine | GA | |
| Emergency Medicine | GA | |
| Family Practice, Emergency Medicine | GA | |
| Nurse Practitioner | AL |
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