Unknown Individual – Family Medicine Physician, NPI 1194768218

Unknown Individual is a healthcare provider. based in Hiram, Georgia. specializing in Family Medicine Physician. They hold a License No. 045867 (GA). The NPI Number for Unknown Individual is 1194768218

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1194768218
Phone
(770) 222-5488
Address
1899 LAKE RD
Deactivation Date
12 December 2024

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
1052203858
Professional Enrollment ID
I20040326000695
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

  • Sparks Solutions, 1899, Lake Road, Indian Lake, Hiram, Paulding County, Georgia, 30141, United States

    SUITE 212

    HIRAM, GA 301412291

    Phone: (770) 222-5488

    Fax: (770) 222-5491

    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)

CMS reports 86 Open Payments records for all available years, with a total value of $1,807.

Total Amount is formed as General ($1,807) + Research ($0) + Ownership ($0) = $1,807.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Novo Nordisk Inc ($295).

Total Amount

$1,807

General + Research + Ownership

Payments

86

Total payment records

General Amount

$1,807

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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
99213Established patient office or other outpatient visit, 20-29 minutes744260$0
99214Established patient office or other outpatient visit, 30-39 minutes373198$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month32941$0
J1100Injection, dexamethasone sodium phosphate, 1 mg27448$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit195195$0
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Insurance plans in this area (ZIP 30141)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1194768218 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Hiram, Georgia. Check all listed addresses for suites or satellite offices.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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