Unknown Individual – Primary Care Clinic/Center, NPI 1235253774

Primary Care Clinic/Center

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Primary Care Clinic/Center. They hold a License No. 047171 (GA). The NPI Number for Unknown Individual is 1235253774

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1235253774

Phone

(404) 257-7080

Address

5670 PEACHTREE DUNWOODY RD NE

Deactivation Date

17 December 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

5670 PEACHTREE DUNWOODY RD NE
SUITE 1200
ATLANTA, GA 303421699
Phone: (404) 257-7080
Fax: (404) 257-7171
Type: Mailing
1810 VERMACK CT
DUNWOODY, GA 303385128
Phone: (404) 931-6610
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 30342)

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

Can I verify Unknown Individual with an NPI only?

You can start verification with NPI 1235253774 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 taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Primary Care Clinic/Center in this dataset. Clinical services aligned with this taxonomy classification.

What address line appears for Unknown Individual?

Unknown Individual's geographic hint is Atlanta, Georgia in our summary view.

Why does Unknown Individual have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.