Unknown Individual – Internal Medicine Physician, NPI 1437104874

Unknown Individual is a healthcare provider. based in Lawrenceville, Georgia. specializing in Internal Medicine Physician. They hold a License No. 051765 (GA). The NPI Number for Unknown Individual is 1437104874

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1437104874
Phone
(770) 513-3565
Address
PO BOX 1126
Deactivation Date
2 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1986 (40 years ago)
PAC ID
3274440078
Professional Enrollment ID
I20051121000672
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Lawrenceville Post Office, 2611, Main Street, Lawrenceville, Lawrence Township, Mercer County, New Jersey, 08648, United States

    LAWRENCEVILLE, GA 300461126

    Phone: (770) 513-3565

    Fax: (770) 513-1924

    Type: Mailing

  • Lawrenceville Square Shopping Center, 134, South Clayton Street, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    SUIT # 8

    LAWRENCEVILLE, GA 300465753

    Phone: (770) 513-3565

    Fax: (770) 513-1924

    Type: Location

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2616$0
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Insurance plans in this area (ZIP 30046)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYGA90935Hemodialysis procedure with one physician evaluation11328

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1437104874 in the public NPI dataset.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Lawrenceville, Georgia; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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