Unknown Individual – Internal Medicine Physician, NPI 1992735765

Unknown Individual is a healthcare provider. based in Suwanee, Georgia. specializing in Internal Medicine Physician. They hold a License No. 036054 (GA). The NPI Number for Unknown Individual is 1992735765

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1992735765
Phone
(678) 957-1910
Address
4365 JOHNS CREEK PARKWAY
Deactivation Date
6 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
6789571910
Graduation Year
1989 (37 years ago)
PAC ID
7315132347
Group Practice PAC ID
3577552116
Professional Enrollment ID
I20101116000402
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

Provider Addresses for Unknown Individual

  • 4365 JOHNS CREEK PARKWAY

    SUITE 400

    SUWANEE, GA 300241059

    Phone: (678) 957-1910

    Fax: (678) 957-1911

    Type: Mailing

  • 4365 JOHNS CREEK PKWY

    SUITE 400

    SUWANEE, GA 300246099

    Phone: (678) 957-1910

    Fax: (678) 957-1911

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 94 Open Payments records for all available years, with a total value of $26,786.

Total Amount is formed as General ($26,786) + Research ($0) + Ownership ($0) = $26,786.

Last reported payment date: 2023-10-24 • Largest payer in this snapshot: Amgen Inc. ($25,773).

Total Amount

$26,786

General + Research + Ownership

Payments

94

Total payment records

General Amount

$26,786

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

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
J0897Injection, denosumab, 1 mg2,52035$0
99213Established patient office or other outpatient visit, 20-29 minutes763396$0
99214Established patient office or other outpatient visit, 30-39 minutes573381$0
99215Established patient office or other outpatient visit, 40-54 minutes382322$0
96372Injection of drug or substance under skin or into muscle255119$0
View full utilization report →

Insurance plans in this area (ZIP 30024)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEGA81002Urinalysis, manual test347281
INTERNAL MEDICINEGA83036Hemoglobin A1C level216157
INTERNAL MEDICINEGA85610Blood test, clotting time14016

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: 3577552116View full group profile
NameSpecialtyState
Internal MedicineGA
Nurse PractitionerGA
Internal MedicineGA
Internal MedicineGA

Reviews

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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 1992735765.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Suwanee, Georgia. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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