Unknown Individual – Cardiovascular Disease Physician, NPI 1578550570

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Cardiovascular Disease Physician. They hold a License No. R2199 (AR). The NPI Number for Unknown Individual is 1578550570

Main info

Organization
Inactive
61 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1578550570
Phone
(479) 709-7399
Address
PO BOX 402319
Deactivation Date
27 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
4797097325
Graduation Year
1965 (61 years ago)
PAC ID
3173583259
Group Practice PAC ID
0648514133
Professional Enrollment ID
I20041013000609
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

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States

    ATLANTA, GA 303842319

    Phone: (479) 709-7399

    Fax: (479) 709-7053

    Type: Mailing

  • Sparks Regional Medical Center, 1001, Towson Avenue, Mill Creek, Fort Smith, Sebastian County, Arkansas, 72903, United States

    FORT SMITH, AR 72901

    Phone: (479) 709-7325

    Fax: (479) 709-7335

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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 30384)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)AR78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies1818

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648514133View full group profile
NameSpecialtyState
-ME
Critical Care (Intensivists)AR
Internal MedicineAR
Family PracticeAR
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists)OH
-AR
-AR
-AR
-GA
Cardiovascular Disease (Cardiology), Interventional CardiologyAR

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

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1578550570.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Cardiovascular Disease Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Atlanta, Georgia?
If you are local to Atlanta, Georgia, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

MITCHELL TODD ALDERSON (M.D.)

Cardiovascular Disease Physician
330 SEVEN SPRINGS WAY
NPI: 1942204912

DR. MARY B FRANKIS (MD)

Cardiovascular Disease Physician
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
NPI: 1528062304

DR. SANJAY M LALL (M.D.)

Cardiovascular Disease Physician
2145 Slater Mill Rd
NPI: 1699779488

DR. ALBERT A SEALS (MD)

Cardiovascular Disease Physician
1658 ST VINCENTS WAY STE 300
NPI: 1568466159

JAIME BURKLE (MD)

Cardiovascular Disease Physician
275, Collier Road Northwest, A, Atlanta, Georgia, 30309, United States
NPI: 1326042052

DR. CHARLES INMAN WILMER (MD)

Interventional Cardiology Physician
275, Collier Road Northwest, A, Atlanta, Georgia, 30309, United States
NPI: 1942205224

DR. WALTER EDWARD MASHMAN (MD)

Cardiovascular Disease Physician
275, Collier Road Northwest, A, Atlanta, Georgia, 30309, United States
NPI: 1639174840

HAROLD D. CARLSON (MD)

Interventional Cardiology Physician
95, Collier Road Northwest, A, Atlanta, Georgia, 30309, United States
NPI: 1023013315

DR. BRADFORD CRAIG LIPMAN (MD)

Cardiovascular Disease Physician
1605 ROBERTA DR SW
NPI: 1740285956