Unknown Individual – Family Nurse Practitioner, NPI 1225096076

Unknown Individual is a healthcare provider. based in Decatur, Georgia. specializing in Family Nurse Practitioner. They hold a License No. RN14321 (GA). The NPI Number for Unknown Individual is 1225096076

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1225096076
Phone
(404) 616-0700
Address
2561 HARRINGTON DR
Deactivation Date
21 October 2023
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

  • 2561 HARRINGTON DR

    DECATUR, GA 300334904

    Phone: (404) 616-0700

    Fax: (404) 616-3084

    Type: Mailing

  • 3801, Clairmont Road, Brookhaven, DeKalb County, Georgia, 30341, United States

    CHAMBLEE, GA 303414911

    Phone: (404) 616-0700

    Fax: (404) 616-3084

    Type: Location

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 30033)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1225096076 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Georgia is Unknown Individual registered?
Use Decatur, Georgia as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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