Unknown Individual – Allergy & Immunology Physician, NPI 1164473229

Unknown Individual is a healthcare provider. based in Dalton, Georgia. specializing in Allergy & Immunology Physician. They hold a License No. 17801 (GA). The NPI Number for Unknown Individual is 1164473229

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164473229
Phone
(706) 226-2142
Address
1436 CHATTANOOGA AVE
Deactivation Date
28 December 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1436, Chattanooga Avenue, Dalton, Whitfield County, Georgia, 30720, United States

    DALTON, GA 307202637

    Phone: (706) 226-2142

    Fax: (706) 226-1771

    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 30720)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1164473229.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Allergy & Immunology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Dalton, Georgia?
If you are local to Dalton, Georgia, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.