Unknown Individual – Otolaryngology/Facial Plastic Surgery Physician, NPI 1326119918

Otolaryngology/Facial Plastic Surgery Physician

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Otolaryngology/Facial Plastic Surgery Physician. They hold a License No. 047518 (GA). The NPI Number for Unknown Individual is 1326119918

Main info

Organization

Inactive

33 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1326119918

Phone

(404) 255-2918

Address

5555 PEACHTREE DUNWOODY RD STE 125

Deactivation Date

3 May 2023

Doctor Profile

Medical School Name

KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED

Secondary Phone

4042552918

Graduation Year

1993 (33 years ago)

PAC ID

6709877962

Group Practice PAC ID

2365410156

Professional Enrollment ID

I20040518001390

Contacts

Secure Messaging

gsachs@atlantaent.emadirect.md

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience19

Completeness85

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

Provider Addresses for Unknown Individual

5555 PEACHTREE DUNWOODY RD STE 125
ATLANTA, GA 303421710
Phone: (404) 255-2918
Fax: (404) 255-5837
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)

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 30342)

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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: 2365410156View full group profile

Name	Specialty	State
DR. LAWRENCE PATRICK MCKEAN (M.D.)	-	GA

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?

You can start verification with NPI 1326119918 for Unknown Individual, then check state licensing separately.

What dates should I check for Unknown Individual's activity?

We display what the registry publishes: Unknown Individual appears inactive there.

What healthcare role does Unknown Individual hold?

Scheduling teams often label Unknown Individual under Otolaryngology/Facial Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.

Where is Unknown Individual based?

Unknown Individual is tied to Atlanta, Georgia in the data we show; additional addresses may exist on the full record.

Why does Unknown Individual have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.