Unknown Individual – Orthopaedic Trauma Physician, NPI 1215978796

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Orthopaedic Trauma Physician. They hold a License No. 016045 (GA). The NPI Number for Unknown Individual is 1215978796

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1215978796
Phone
(678) 520-0787
Address
2277 PEACHTREE RD NE
Deactivation Date
1 March 2021
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

  • Okiboru Tsukemen & Ramen, 2277, Peachtree Road Northeast, Atlanta, Fulton County, Georgia, 30309, United States

    UNIT 607

    ATLANTA, GA 303091168

    Phone: (678) 520-0787

    Fax: (678) 639-2330

    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 30309)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1215978796 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Orthopaedic Trauma Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Atlanta, Georgia in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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