Unknown Individual – Family Medicine Physician, NPI 1235139171
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1170 Cleveland Ave
East Point, GA 303443615
Phone: (404) 756-1400
Fax: (404) 756-5274
Type: Location
Westview Drive Southwest, Atlanta, Georgia, 30310, United States
ATLANTA, GA 303101458
Phone: (404) 756-1400
Fax: (404) 756-5274
Type: Mailing
1595 Cleveland Ave
East Point, GA 303443200
Phone: (404) 756-1400
Fax: (404) 756-5274
Type: Location
80 Jesse Hill Jr Dr SE
Atlanta, GA 303033031
Phone: (404) 756-5752
Fax: (404) 756-5274
Type: Location
Cleveland Avenue, Chester-le-Street, County Durham, North East England, England, DH2 3BA, United Kingdom
BLDG 500
EAST POINT, GA 303446947
Phone: (404) 752-1000
Fax: (404) 752-1191
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.
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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.
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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 30344)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | GA | 90670 | Pneumococcal vaccine for injection into muscle | 18 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Infectious Disease, Internal Medicine | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| N E U R O L O G Y | CT | |
| P S Y C H I A T R Y | GA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | GA | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | GA |
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