Unknown Individual – Internal Medicine Physician, NPI 1144251018

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Internal Medicine Physician. They hold a License No. 052831 (GA). The NPI Number for Unknown Individual is 1144251018

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1144251018
Phone
(470) 271-3418
Address
2727 PACES FERRY RD SE STE 1-1100
Deactivation Date
22 June 2021

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
4047286812
Graduation Year
1996 (30 years ago)
PAC ID
1658337639
Group Practice PAC ID
3476559782
Professional Enrollment ID
I20041202000316
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

  • 2727 PACES FERRY RD SE STE 1-1100

    ATLANTA, GA 303396151

    Phone: (470) 271-3418

    Type: Mailing

  • Lavista Road Northeast, La Vista, Atlanta, DeKalb County, Georgia, 30324, United States

    ATLANTA, GA 30329

    Phone: (404) 982-8009

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30339)

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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: 3476559782View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Internal Medicine, Infectious DiseaseGA
-GA
-GA
Physician AssistantGA
Certified Registered Nurse Anesthetist (Crna)FL
N E U R O L O G YGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1144251018 — is the standard way to identify this listing.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Atlanta, Georgia may find Unknown Individual in results; validate coverage separately.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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