Unknown Individual – Family Medicine Physician, NPI 1376589119
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3827, Jimmy Lee Smith Parkway, Echo Ridge, Hiram, Paulding County, Georgia, 30141, United States
HIRAM, GA 301412630
Phone: (770) 222-8900
Fax: (770) 222-2757
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 3 Open Payments records for all available years, with a total value of $48.
Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.
Last reported payment date: 2024-03-29 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($29).
Total Amount
$48
General + Research + Ownership
Payments
3
Total payment records
General Amount
$48
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Paratek Pharmaceuticals, Inc. | $29 |
| Amgen Inc. | $20 |
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 994 | 115 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 166 | 125 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 164 | 132 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 114 | 53 | $0 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 96 | 31 | $0 |
Insurance plans in this area (ZIP 30141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Family Practice, Physical Medicine And Rehabilitation | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| - | GA |
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