Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1164600433

Unknown Individual is a healthcare provider. based in Tucker, Georgia. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. 020414 (GA). The NPI Number for Unknown Individual is 1164600433

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164600433
Phone
Not provided
Address
1777 MONTREAL CIR
Deactivation Date
16 December 2022
Data current as of
20 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

  • 1777, Montreal Circle, Tucker, DeKalb County, Georgia, 30084, United States

    TUCKER, GA 300846802

    Phone:

    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 30084)

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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 1164600433.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Anatomic Pathology & Clinical Pathology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Tucker, Georgia for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1164600433. Always confirm identity and privileges with the practice and licensing boards.

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