Unknown Individual – General Practice Physician, NPI 1437461050

Unknown Individual is a healthcare provider. based in Decatur, Georgia. specializing in General Practice Physician. They hold a License No. 25399 (GA). The NPI Number for Unknown Individual is 1437461050

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1437461050
Phone
(404) 559-5190
Address
3904 N DRUID HILLS RD
Deactivation Date
16 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1980 (46 years ago)
PAC ID
7618118381
Professional Enrollment ID
I20130722000463
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 3904 N DRUID HILLS RD

    SUITE 372

    DECATUR, GA 300333105

    Phone: (404) 559-5190

    Fax: (404) 559-5189

    Type: Mailing

  • 1795 WASHINGTON AVE

    EAST POINT, GA 303444149

    Phone: (404) 559-5190

    Fax: (404) 559-5189

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30033)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1437461050 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with General Practice Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Decatur, Georgia because that is what the record indicates for Unknown Individual.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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