Unknown Individual – Social Worker, NPI 1760549547

Unknown Individual is a healthcare provider. based in Flowery branch, Georgia. specializing in Social Worker. They hold a License No. CSW003446 (GA). The NPI Number for Unknown Individual is 1760549547

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1760549547
Phone
(678) 513-5700
Address
4331 THURMOND TANNER RD
Deactivation Date
13 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7065428656
Graduation Year
1998 (28 years ago)
PAC ID
1254357775
Group Practice PAC ID
1052200599
Professional Enrollment ID
I20051024000260
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

  • Thurmond Tanner Road, Spout Spring Crossroads, Flowery Branch, Hall County, Georgia, 30542, United States

    CARE OF GEORGIA MOUNTAINS COMMUNITY SERVICES

    FLOWERY BRANCH, GA 305422829

    Phone: (678) 513-5700

    Fax: (678) 513-5836

    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.

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 30542)

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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: 1052200599View full group profile
NameSpecialtyState
Physician AssistantMA
-GA
Nurse PractitionerGA
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Nurse PractitionerGA
Clinical Social WorkerGA
-GA
Clinical Social WorkerGA

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1760549547.
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 Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Flowery Branch, Georgia in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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