Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1235457250

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. RN201885 (GA). The NPI Number for Unknown Individual is 1235457250

Main info

Organization
Inactive
18 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1235457250
Phone
(770) 375-7198
Address
3100 MARGAVERA TER
Deactivation Date
9 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7063203770
Graduation Year
2008 (18 years ago)
PAC ID
8921277047
Group Practice PAC ID
8729381033
Professional Enrollment ID
I20110808000047
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 3100 MARGAVERA TER

    ATLANTA, GA 303414104

    Phone: (770) 375-7198

    Type: Mailing

  • 200 WISTERIA DRIVE

    GAINESVILLE, GA 305013827

    Phone: (770) 219-5407

    Fax: (770) 219-7102

    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 30341)

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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: 8729381033View full group profile
NameSpecialtyState
P S Y C H I A T R YGA
P S Y C H I A T R YGA
-WI
Physician AssistantGA
Diagnostic RadiologyNY
N E U R O L O G YGA
-GA
P S Y C H I A T R YGA
Physician AssistantGA
O B S T E T R I C S/ G Y N E C O L O G YGA

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1235457250?
NPI 1235457250 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Atlanta, Georgia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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