Unknown Individual – Athletic Trainer, NPI 1194854612

Athletic Trainer

Unknown Individual is a healthcare provider. based in Acworth, Georgia. specializing in Athletic Trainer. They hold a License No. AT001283 (GA). The NPI Number for Unknown Individual is 1194854612

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1194854612

Phone

(678) 574-7599

Address

42 MOONSHADOW WAY

Deactivation Date

6 November 2025

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

Provider Addresses for Unknown Individual

42 MOONSHADOW WAY
ACWORTH, GA 301012619
Phone: (678) 574-7599
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 30101)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?

In the U.S., Unknown Individual is identified by NPI 1194854612.

What happens when Unknown Individual's NPI is not active?

Public data lists Unknown Individual outside the active bucket for this identifier.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Athletic Trainer. Clinical services aligned with this taxonomy classification.

Is Unknown Individual tied to Acworth, Georgia?

If you are local to Acworth, Georgia, Unknown Individual may be relevant to your search.

Why is information missing for Unknown Individual?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.