Unknown Individual – Chiropractor, NPI 1649340951

Unknown Individual is a healthcare provider. based in Norcross, Georgia. specializing in Chiropractor. They hold a License No. CHIR001019 (GA). The NPI Number for Unknown Individual is 1649340951

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1649340951
Phone
(770) 448-3985
Address
2675 BEAVER RUIN RD
Deactivation Date
24 July 2025

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Secondary Phone
7704483985
Graduation Year
1974 (52 years ago)
PAC ID
6800976341
Professional Enrollment ID
I20080109000454
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

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Provider Addresses for Unknown Individual

  • 2675, Beaver Ruin Road, Norcross, Gwinnett County, Georgia, 30071, United States

    NORCROSS, GA 300714136

    Phone: (770) 448-3985

    Fax: (770) 448-3639

    Mailing address matches the actual address.

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.

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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 30071)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1649340951 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Chiropractor. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Norcross, Georgia.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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