Unknown Individual – Chiropractor, NPI 1861403644

Unknown Individual is a healthcare provider. based in Stockbridge, Georgia. specializing in Chiropractor. They hold a License No. CHIR002708 (GA). The NPI Number for Unknown Individual is 1861403644

Main info

Organization
Inactive
40 Years Of Experience
Name
Unknown Individual
NPI
1861403644
Phone
(770) 389-8900
Address
1481 HUDSON BRIDGE RD
Deactivation Date
21 June 2021

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE - WEST
Secondary Phone
7709147003
Graduation Year
1986 (40 years ago)
PAC ID
4183716509
Professional Enrollment ID
I20070815000303
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

  • Hudson Bridge Road, Stockbridge, Henry County, Georgia, United States

    SUITE E

    STOCKBRIDGE, GA 302817246

    Phone: (770) 389-8900

    Fax: (770) 389-1210

    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 30281)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1861403644 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Chiropractor in the directory — Clinical services aligned with this taxonomy classification.
Where in Georgia is Unknown Individual registered?
Use Stockbridge, Georgia as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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