Unknown Individual – Orthopaedic Surgery Physician, NPI 1174553044

Unknown Individual is a healthcare provider. based in Duluth, Georgia. specializing in Orthopaedic Surgery Physician. They hold a License No. 016630 (GA). The NPI Number for Unknown Individual is 1174553044

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174553044
Phone
(678) 226-0082
Address
3025 BRECKINRIDGE BLVD
Deactivation Date
29 January 2026
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

Loading map...

Provider Addresses for Unknown Individual

  • 3025 BRECKINRIDGE BLVD

    SUITE 120

    DULUTH, GA 300967611

    Phone: (678) 226-0082

    Type: Mailing

  • Emory University Hospital Midtown, 550, Peachtree Street Northeast, Atlanta, Georgia, 30308, United States

    #1770

    ATLANTA, GA 303082247

    Phone: (404) 577-5459

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 30096)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1174553044 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Orthopaedic Surgery Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Duluth, Georgia for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

JEAN GERALD NOUGAISSE (PA-C)

Orthopaedic Surgery Physician
3400 MCCLURE BRIDGE RD BLDG B
NPI: 1164486817

JAYENDRAKUMAR J SHAH (MD)

Orthopaedic Surgery Physician
10600 MEDLOCK BRIDGE RD
NPI: 1568411254

R MARK HAZEL (MD)

Orthopaedic Surgery Physician
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
NPI: 1023025632

GWINNETT CLINIC, LTD

Multi-Specialty Clinic/Center
475 Philip Blvd Ste 300
NPI: 1548271026

Unknown Individual

Orthopaedic Surgery Physician
10680 MEDLOCK BRIDGE ROAD
NPI: 1417068206

GWINNETT ORTHOPAEDIC & SPORTS MEDICINE

Orthopaedic Surgery Physician
Pleasant Hill Road, Duluth, Gwinnett County, Georgia, 30096, United States
NPI: 1881791200

MONIQUE A GREY-MCBRIDE (M.D.)

Orthopaedic Surgery Physician
3650 STEVE REYNOLDS BLVD
NPI: 1972720415

SAADIQ FARID III EL-AMIN (MD)

Orthopaedic Surgery Physician
1462 Montreal Rd Ste 101
NPI: 1972718328

RICHARD WAYNE BENEFIELD (PA-C)

Surgical Physician Assistant
6300 Hospital Pkwy Ste 400
NPI: 1144469552