Unknown Individual – Rheumatology Physician, NPI 1295703486

Unknown Individual is a healthcare provider. based in Decatur, Georgia. specializing in Rheumatology Physician. They hold a License No. 023048 (GA). The NPI Number for Unknown Individual is 1295703486

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1295703486
Phone
(404) 299-8600
Address
2784 N DECATUR RD STE 150
Deactivation Date
3 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
4042998600
Graduation Year
1976 (50 years ago)
PAC ID
6608187935
Professional Enrollment ID
I20150612001335
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

Provider Addresses for Unknown Individual

  • 2784 N DECATUR RD STE 150

    DECATUR, GA 300335993

    Phone: (404) 299-8600

    Fax: (404) 299-0561

    Type: Mailing

  • Podiatry Institute, 2675, North Decatur Road, Decatur, DeKalb County, Georgia, 30033, United States

    SUITE 705

    DECATUR, GA 300336131

    Phone: (404) 299-8600

    Fax: (404) 299-0561

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $287.

Total Amount is formed as General ($287) + Research ($0) + Ownership ($0) = $287.

Last reported payment date: 2024-05-15 • Largest payer in this snapshot: ABBVIE INC. ($258).

Total Amount

$287

General + Research + Ownership

Payments

17

Total payment records

General Amount

$287

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-15

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 minutes13549$0
99215Established patient office or other outpatient visit, 40-54 minutes4632$0
36415Insertion of needle into vein for collection of blood sample2820$0
90662Influenza vaccine split virus, preservative free1111$0
G0008Administration of influenza virus vaccine1111$0
View full utilization report →

Insurance plans in this area (ZIP 30033)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1295703486 on file in the registry.
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 clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Decatur?
Public fields place Unknown Individual around Decatur, Georgia. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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