Unknown Individual – Orthopaedic Surgery Physician, NPI 1376532549

Orthopaedic Surgery Physician

Unknown Individual is a healthcare provider. based in Griffin, Georgia. specializing in Orthopaedic Surgery Physician. They hold a License No. 021931 (GA). The NPI Number for Unknown Individual is 1376532549

Main info

Organization

Inactive

51 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1376532549

Phone

(770) 233-3444

Address

670 S 8TH ST

Deactivation Date

4 August 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7702333444

Graduation Year

1975 (51 years ago)

PAC ID

5799686606

Group Practice PAC ID

1658519277

Professional Enrollment ID

I20080918000565

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

670, South 8th Street, Griffin, Spalding County, Georgia, 30224, United States
GRIFFIN, GA 302244214
Phone: (770) 233-3444
Fax: (770) 233-9400
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 30224)

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Provider's Procedures

Unknown Individual performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
ORTHOPEDIC SURGERY	GA	27447	Repair of knee joint	11	11

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: 1658519277View full group profile

Name	Specialty	State
DR. RADHAKRISHNAN V. NAIR (M.D.)	-	GA

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?

Unknown Individual — NPI 1376532549 — is the standard way to identify this listing.

Is Unknown Individual excluded from programs when inactive?

The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Orthopaedic Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.

What address line appears for Unknown Individual?

Unknown Individual's geographic hint is Griffin, Georgia in our summary view.

How many locations tie to this NPI?

2 practice locations appear in the available data.