Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1366437741

Unknown Individual is a healthcare provider. based in Carrollton, Georgia. specializing in Certified Registered Nurse Anesthetist. They hold a License No. RN022139 CRNA (GA). The NPI Number for Unknown Individual is 1366437741

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366437741
Phone
(770) 832-1444
Address
705 PARK PLACE WAY
Deactivation Date
27 March 2024
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

  • Park Place Way, Carrollton, Carroll County, Georgia, 30117, United States

    STE 100

    CARROLLTON, GA 30117

    Phone: (770) 832-1444

    Type: Location

  • 12283 BUCHANAN HWY

    TEMPLE, GA 301795003

    Phone: (770) 562-3531

    Fax: (770) 562-3537

    Type: Mailing

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.

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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 30117)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1366437741 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Carrollton, Georgia for Unknown Individual; expand the address list for detail.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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