Unknown Individual – Anesthesiology Physician, NPI 1073509303

Unknown Individual is a healthcare provider. based in Alpharetta, Georgia. specializing in Anesthesiology Physician. They hold a License No. 12180 (GA). The NPI Number for Unknown Individual is 1073509303

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073509303
Phone
(770) 645-9181
Address
3155 N POINT PKWY
Deactivation Date
14 August 2024
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

  • 3155, North Point Parkway, Preston Ridge, Alpharetta, Fulton County, Georgia, 30005, United States

    ATTN: CREDENTIALING DEPT, BUILDING F, SUITE 100

    ALPHARETTA, GA 30005

    Phone: (770) 645-9181

    Fax: (770) 645-8455

    Type: Mailing

  • McDonald's, 1000, Johnson Ferry Road Northeast, Ridgeview Forest, Atlanta, Fulton County, Georgia, 30346, United States

    ATLANTA, GA 303421606

    Phone: (770) 645-9181

    Fax: (770) 645-8455

    Type: Location

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 30005)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1073509303 for Unknown Individual.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Alpharetta, Georgia in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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