Unknown Individual – Specialist, NPI 1285726349

Unknown Individual is a healthcare provider. based in Roswell, Georgia. specializing in Specialist. They hold a License No. 022269 (GA). The NPI Number for Unknown Individual is 1285726349

Main info

Organization
Inactive
47 Years Of Experience
Name
Unknown Individual
NPI
1285726349
Phone
(770) 442-5882
Address
11660 ALPHARETTA HWY
Deactivation Date
28 May 2025

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
7706670570
Graduation Year
1979 (47 years ago)
PAC ID
4688857121
Group Practice PAC ID
8628063633
Professional Enrollment ID
I20110322000281
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

  • 11660, Alpharetta Highway, Roswell, Fulton County, Georgia, 30076, United States

    SUITE 420

    ROSWELL, GA 300764943

    Phone: (770) 442-5882

    Fax: (770) 664-6134

    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 25 Open Payments records for all available years, with a total value of $469.

Total Amount is formed as General ($469) + Research ($0) + Ownership ($0) = $469.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABBVIE INC. ($164).

Total Amount

$469

General + Research + Ownership

Payments

25

Total payment records

General Amount

$469

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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
99212Established patient office or other outpatient visit, 10-19 minutes158106$0
99213Established patient office or other outpatient visit, 20-29 minutes8771$0
45380Biopsy of large bowel using a flexible endoscope8181$0
99203New patient office or other outpatient visit, 30-44 minutes6969$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare3534$0
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Insurance plans in this area (ZIP 30076)

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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: 8628063633View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineGA
Gastroenterology, Internal MedicineGA
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1285726349; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Other Service Providers for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Roswell, Georgia for Unknown Individual; expand the address list for detail.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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