Unknown Individual – Gastroenterology Physician, NPI 1386613982

Unknown Individual is a healthcare provider. based in Stockbridge, Georgia. specializing in Gastroenterology Physician. They hold a License No. 039829 (GA). The NPI Number for Unknown Individual is 1386613982

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386613982
Phone
(770) 389-9642
Address
1008 HOSPITAL DR
Deactivation Date
17 May 2023

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7703899642
Graduation Year
1982 (44 years ago)
PAC ID
8224040985
Professional Enrollment ID
I20060620000152
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

Loading map...

Provider Addresses for Unknown Individual

  • 1008, Hospital Drive, Stockbridge, Henry County, Georgia, 30281, United States

    SUITE 1008

    STOCKBRIDGE, GA 302817384

    Phone: (770) 389-9642

    Fax: (770) 389-9207

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 30281)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1386613982 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Stockbridge?
Unknown Individual currently maps to Stockbridge, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

CELESTINE O MAIKI (MD)

Gastroenterology Physician
7823 SPIVEY STATION BLVD STE 100
NPI: 1649278532

DR. CHRISTOPHER ANTONIOUS BROWN (MD)

Gastroenterology Physician
Peachtree Street Northeast, Atlanta, Fulton County, Georgia, 30308, United States
NPI: 1194715813

HITESH CHOKSHI (MD)

Gastroenterology Physician
7402 Davidson Pkwy S
NPI: 1356331680

MARK DOUGLAS EDGE (MD)

Gastroenterology Physician
7402 Davidson Pkwy S
NPI: 1750372777

DR. TIMOTHY GILRANE (MD)

Gastroenterology Physician
Emory University Hospital Midtown, 550, Peachtree Street Northeast, Atlanta, Fulton County, Georgia, 30308, United States
NPI: 1427049477

Advanced Digestive Diseases, P.C.

Gastroenterology Physician
235, Medical Boulevard, Stockbridge, Henry County, Georgia, 30281, United States
NPI: 1831274034

KEVAL A PATEL (MD)

Gastroenterology Physician
7402 DAVIDSON PKWY S
NPI: 1336469485