Unknown Individual – Customized Equipment (DME), NPI 1114136280

Unknown Individual is a healthcare provider. based in Alpharetta, Georgia. specializing in Customized Equipment (DME). They hold a License No. 000932 (GA). The NPI Number for Unknown Individual is 1114136280

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114136280
Phone
(678) 992-0303
Address
11180 STATE BRIDGE RD
Deactivation Date
15 November 2022
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

  • State Bridge Road, Alpharetta, Fulton County, Georgia, 30022, United States

    SUITE 305

    ALPHARETTA, GA 300227482

    Phone: (678) 992-0303

    Fax: (678) 992-0302

    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.

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 30022)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1114136280.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Customized Equipment (DME). Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Alpharetta, Georgia for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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