Unknown Individual – Family Medicine Physician, NPI 1912286154
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
290 COUNTRY CLUB DR
SUITE 220
STOCKBRIDGE, GA 302819069
Phone: (678) 284-6300
Fax: (678) 284-6282
Type: Mailing
6385 MCGINNIS FERRY RD
SUITE 202
JOHNS CREEK, GA 300053621
Phone: (770) 302-6767
Fax: (678) 284-6292
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $54.
Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.
Last reported payment date: 2023-06-28 • Largest payer in this snapshot: Almatica Pharma LLC ($54).
Total Amount
$54
General + Research + Ownership
Payments
3
Total payment records
General Amount
$54
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Almatica Pharma LLC | $54 |
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 30281)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| Physician Assistant | GA | |
| Family Practice | GA | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| - | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine, Emergency Medicine | GA | |
| Physician Assistant | GA |
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