Unknown Individual – Anesthesiologist Assistant, NPI 1811370737

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Anesthesiologist Assistant. They hold a License No. 7721 (GA). The NPI Number for Unknown Individual is 1811370737

Main info

Organization
Inactive
11 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1811370737
Phone
Not provided
Address
5107 MORGAN PLACE CT NE
Deactivation Date
27 March 2025

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7707940477
Graduation Year
2015 (11 years ago)
PAC ID
2365750544
Group Practice PAC ID
7315835063
Professional Enrollment ID
I20151008000731
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 5107 MORGAN PLACE CT NE

    ATLANTA, GA 303245415

    Phone:

    Type: Mailing

  • 575 PROFESSIONAL DR

    LAWRENCEVILLE, GA 300463333

    Phone: (770) 277-3056

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $164.

Total Amount is formed as General ($164) + Research ($0) + Ownership ($0) = $164.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($50).

Total Amount

$164

General + Research + Ownership

Payments

7

Total payment records

General Amount

$164

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

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
00567Anesthesia for heart artery bypass grafting on heart-lung machine3030$0
00790Anesthesia for other procedure on upper abdomen1212$0
01230Anesthesia for procedure on upper 2/3rd of thigh bone1212$0
View full utilization report →

Insurance plans in this area (ZIP 30324)

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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: 7315835063View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YGA
-GA
-GA
-GA
-GA
A N E S T H E S I O L O G YGA
-GA
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1811370737 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Atlanta?
Unknown Individual currently maps to Atlanta, Georgia in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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