Unknown Individual – Cytopathology Physician, NPI 1295838712

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Cytopathology Physician. They hold a License No. 26763 (IA). The NPI Number for Unknown Individual is 1295838712

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1295838712
Phone
(407) 888-9934
Address
PO BOX 403751
Deactivation Date
15 November 2024

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4074221377
Graduation Year
1977 (49 years ago)
PAC ID
8527959949
Group Practice PAC ID
4789772120
Professional Enrollment ID
I20071119000028
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 403751

    ATLANTA, GA 30384

    Phone: (407) 888-9934

    Fax: (407) 856-0333

    Type: Mailing

  • New Missions, 2500, Sand Lake Road, Orlando Central Park, Oak Ridge, Orange County, Florida, 32809, United States

    ORLANDO, FL 32809

    Phone: (407) 888-9934

    Fax: (407) 856-0333

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity1,178302$0
88360Microscopic genetic analysis of tumor, manual6131$0
88312Special stained specimen slides to identify organisms including interpretation and report3324$0
88313Special stained specimen slides to examine tissue including interpretation and report1816$0
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Insurance plans in this area (ZIP 30384)

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Provider's Procedures

Unknown Individual performs procedures in Cytopathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYFL88304Pathology examination of tissue using a microscope, moderately low complexity1515
PATHOLOGYFL88312Special stained specimen slides to identify organisms including interpretation and report4016

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: 4789772120View full group profile
NameSpecialtyState
P A T H O L O G YOH
P A T H O L O G YMA
Pathology, DermatologyFL
P A T H O L O G YFL
P A T H O L O G YFL
-FL
-FL
P A T H O L O G YAR
P A T H O L O G YFL
P A T H O L O G YNY

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1295838712 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Cytopathology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Atlanta, Georgia.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.