Unknown Individual – Family Medicine Physician, NPI 1215935507
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2020 HONEY CREEK PKWY SE
CONYERS, GA 300132974
Phone: (770) 929-0813
Fax: (770) 922-8653
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 74 Open Payments records for all available years, with a total value of $1,430.
Total Amount is formed as General ($1,430) + Research ($0) + Ownership ($0) = $1,430.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Lilly USA, LLC ($358).
Total Amount
$1,430
General + Research + Ownership
Payments
74
Total payment records
General Amount
$1,430
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 742 | 54 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 502 | 172 | $0 |
| 83036 | Hemoglobin a1c level | 157 | 86 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 147 | 76 | $0 |
| 81003 | Automated urinalysis test | 137 | 94 | $0 |
Insurance plans in this area (ZIP 30013)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Family Practice | GA | |
| Physician Assistant | FL | |
| Physician Assistant | GA | |
| - | GA | |
| Family Practice | GA |
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