Unknown Individual – Family Medicine Physician, NPI 1275540726

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Family Medicine Physician. They hold a License No. 38110 (GA). The NPI Number for Unknown Individual is 1275540726

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1275540726
Phone
(404) 255-7325
Address
960 JOHNSON FERRY RD
Deactivation Date
25 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7706648898
Graduation Year
1989 (37 years ago)
PAC ID
1153517156
Group Practice PAC ID
9032337423
Professional Enrollment ID
I20101201001069

Contacts

Secure Messaging
charlestaylor@pnfm.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • Atlanta MediSpa, 1232, Johnson Ferry Road Northeast, Heritage Glen, Marietta, Cobb County, Georgia, 30068, United States

    STE 300

    ATLANTA, GA 303424772

    Phone: (404) 255-7325

    Fax: (404) 255-3055

    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 68 Open Payments records for all available years, with a total value of $1,311.

Total Amount is formed as General ($1,311) + Research ($0) + Ownership ($0) = $1,311.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Lilly USA, LLC ($332).

Total Amount

$1,311

General + Research + Ownership

Payments

68

Total payment records

General Amount

$1,311

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

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
99214Established patient office or other outpatient visit, 30-39 minutes420234$0
80061Blood test, lipids (cholesterol and triglycerides)136113$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count10999$0
84443Blood test, thyroid stimulating hormone (tsh)10392$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9999$0
View full utilization report →

Insurance plans in this area (ZIP 30342)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA83036Hemoglobin A1C level7958

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: 9032337423View full group profile
NameSpecialtyState
Family PracticeGA
Nurse PractitionerGA
Nurse PractitionerGA
Family PracticeGA
-GA
-GA
Family PracticeGA
Nurse PractitionerGA
Family PracticeGA
Endocrinology, Internal MedicineMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1275540726.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Atlanta, Georgia. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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