Unknown Individual – Internal Medicine Physician, NPI 1417095340
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Unknown Individual
121, Langley Drive, Lawrenceville, Gwinnett County, Georgia, 30046, United States
LAWRENCEVILLE, GA 300466930
Phone: (770) 685-1300
Fax: (770) 685-1311
Type: Location
Lawrenceville Post Office, 2611, Main Street, Lawrenceville, Lawrence Township, Mercer County, New Jersey, 08648, United States
LAWRENCEVILLE, GA 300461247
Phone: (770) 685-1300
Fax: (770) 685-1311
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $488.
Total Amount is formed as General ($488) + Research ($0) + Ownership ($0) = $488.
Last reported payment date: 2023-08-15 • Largest payer in this snapshot: ABBVIE INC. ($142).
Total Amount
$488
General + Research + Ownership
Payments
25
Total payment records
General Amount
$488
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $142 |
| Bayer Healthcare Pharmaceuticals Inc. | $96 |
| Lilly USA, LLC | $52 |
| Abbott Laboratories | $47 |
| Xeris Pharmaceuticals, Inc. | $39 |
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 |
|---|---|---|---|---|
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 889 | 89 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 522 | 94 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 456 | 96 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 209 | 145 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 115 | 107 | $0 |
Insurance plans in this area (ZIP 30046)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Internal Medicine | GA | |
| Internal Medicine, Pulmonary Disease | GA |
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.