Unknown Individual – Advanced Heart Failure and Transplant Cardiology Physician, NPI 1689723280

Unknown Individual is a healthcare provider. based in Alpharetta, Georgia. specializing in Advanced Heart Failure and Transplant Cardiology Physician. They hold a License No. ME160005 (FL). The NPI Number for Unknown Individual is 1689723280

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1689723280
Phone
(770) 559-0055
Address
501 S Main St Ste 202
Deactivation Date
12 February 2026

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
5022725165
Graduation Year
2001 (25 years ago)
PAC ID
4789663840
Group Practice PAC ID
7012811284
Professional Enrollment ID
I20040714000576

Contacts

Secure Messaging
KMCCANTS440928@WELLSTAR.ORG
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:0State licenses:3Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 501 S Main St Ste 202

    Alpharetta, GA 300091975

    Phone: (770) 559-0055

    Fax: (770) 203-1072

    Type: Location

  • 3 Audubon Plaza Dr Ste 560

    Louisville, KY 402171376

    Phone: (502) 636-8004

    Fax: (502) 636-8384

    Type: Location

  • 743 Spring St NE

    Gainesville, GA 305013715

    Phone: (770) 534-2020

    Fax: (770) 534-8025

    Type: Location

  • 200 S Enota Dr NE Ste 100

    Gainesville, GA 305013466

    Phone: (770) 534-2020

    Type: Location

  • 11680 Great Oaks Way

    Alpharetta, GA 30022

    Phone: (678) 855-6535

    Fax: (770) 203-1072

    Type: Location

  • 777 Cleveland Ave SW

    Atlanta, GA 30315

    Phone: (678) 855-6535

    Fax: (770) 203-1072

    Type: Location

  • 381 W Lake Ave NW

    Atlanta, GA 30318

    Phone: (678) 855-6535

    Fax: (770) 203-1072

    Type: Location

  • 55 Whitcher St NE Ste 350

    Marietta, GA 300601129

    Phone: (770) 424-6893

    Fax: (770) 528-9938

    Type: Location

  • 11680 GREAT OAKS WAY

    ALPHARETTA, GA 300222457

    Phone: (678) 855-6535

    Type: Mailing

  • 2273 LEE RD STE 201

    WINTER PARK, FL 327897214

    Phone: (678) 855-6535

    Type: Location

  • Audubon Plaza Drive, Louisville, Jefferson County, Kentucky, 40217, United States

    LOUISVILLE, KY 402171376

    Phone: (502) 636-8004

    Fax: (502) 636-8384

    Type: Location

  • South Main Street, Alpha Park, Alpharetta, Fulton County, Georgia, 30009, United States

    STE 201

    ALPHARETTA, GA 300091975

    Phone: (770) 559-0055

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 167 Open Payments records for all available years, with a total value of $111,895.

Total Amount is formed as General ($111,895) + Research ($0) + Ownership ($0) = $111,895.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Janssen Scientific Affairs, LLC ($38,538).

Total Amount

$111,895

General + Research + Ownership

Payments

167

Total payment records

General Amount

$111,895

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes17069$0
99214Established patient office or other outpatient visit, 30-39 minutes16095$0
36415Insertion of needle into vein for collection of blood sample8765$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4039$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 30009)

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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: 7012811284View full group profile
NameSpecialtyState
Nurse PractitionerIL
Orthopedic SurgeryIN
Nurse PractitionerKY
Nurse PractitionerIL
Family PracticeIL
Nurse PractitionerKY
-IL
Internal MedicineKY
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1689723280 uniquely identifies Unknown Individual in U.S. healthcare data.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Advanced Heart Failure and Transplant Cardiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Alpharetta, Georgia?
For routing, start with Alpharetta, Georgia for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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