Unknown Individual – Athletic Trainer, NPI 1336104967

Unknown Individual is a healthcare provider. based in Marietta, Georgia. specializing in Athletic Trainer. They hold a License No. AT000932 (GA). The NPI Number for Unknown Individual is 1336104967

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1336104967
Phone
(404) 457-1100
Address
422 WOOD HOLLOW CT SE
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

Provider Addresses for Unknown Individual

  • 422 WOOD HOLLOW CT SE

    MARIETTA, GA 300678438

    Phone: (404) 457-1100

    Type: Mailing

  • 1699 TULLIE CIR NE

    ATLANTA, GA 303292319

    Phone: (404) 785-5706

    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.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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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 30067)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1336104967 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Athletic Trainer is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Marietta, Georgia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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