Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1588786370

Unknown Individual is a healthcare provider. based in Johns creek, Georgia. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. 060410 (GA). The NPI Number for Unknown Individual is 1588786370

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1588786370
Phone
(706) 373-1772
Address
185 HIGH BLUFF COURT
Deactivation Date
7 June 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
6787084769
Graduation Year
2003 (23 years ago)
PAC ID
0648329128
Group Practice PAC ID
7416948740
Professional Enrollment ID
I20160803000218
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 185 HIGH BLUFF COURT

    JOHNS CREEK, GA 300976471

    Phone: (706) 373-1772

    Type: Mailing

  • 11390 OLD ROSWELL RD STE 100

    ALPHARETTA, GA 300092058

    Phone: (678) 708-4749

    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
88305Pathology examination of tissue using a microscope, intermediate complexity2,4571,084$0
88313Special stained specimen slides to examine tissue including interpretation and report311250$0
88342Special stained specimen slides to examine tissue, initial procedure200180$0
View full utilization report →

Insurance plans in this area (ZIP 30097)

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Provider's Procedures

Unknown Individual performs procedures in Anatomic Pathology & Clinical Pathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYGA88312Special stained specimen slides to identify organisms including interpretation and report15341177

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: 7416948740View full group profile
NameSpecialtyState
P A T H O L O G YGA
Dermatology, PathologyAL
-GA
P A T H O L O G YOH
P A T H O L O G YGA
P A T H O L O G YGA
P A T H O L O G YGA

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1588786370.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Anatomic Pathology & Clinical Pathology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Johns Creek, Georgia may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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