Unknown Individual – Geriatric Medicine (Family Medicine) Physician, NPI 1952368953
Geriatric Medicine (Family Medicine) Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Fulton County, Georgia, 30308, United States
ATLANTA, GA 303743070
Phone: (864) 560-4304
Fax: (864) 560-4413
Type: Mailing
Spartanburg Medical Center, 101, East Wood Street, Spartanburg, Spartanburg County, South Carolina, 29303, United States
SPARTANBURG, SC 293033040
Phone: (864) 560-2050
Fax: (864) 560-2099
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2024-08-26 • Largest payer in this snapshot: Abbott Laboratories ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $21 |
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 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| - | GA | |
| Family Practice | SC | |
| U R O L O G Y | SC | |
| Diagnostic Radiology | TX | |
| G A S T R O E N T E R O L O G Y | GA | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Nurse Practitioner | SC |
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