Unknown Individual – Medical Physician Assistant, NPI 1386737922

Unknown Individual is a healthcare provider. based in Smyrna, Georgia. specializing in Medical Physician Assistant. They hold a License No. 000489 (GA). The NPI Number for Unknown Individual is 1386737922

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386737922
Phone
(770) 437-6910
Address
3789 DONALD RD.
Deactivation Date
5 June 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

  • 3789 DONALD RD.

    SMYRNA, GA 30080

    Phone: (770) 437-6910

    Fax: (770) 433-2380

    Type: Mailing

  • 3903, South Cobb Drive, Smyrna, Cobb County, Georgia, 30082, United States

    SUITE 200

    SMYRNA, GA 30080

    Phone: (770) 435-3214

    Fax: (770) 433-2380

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $420.

Total Amount is formed as General ($420) + Research ($0) + Ownership ($0) = $420.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($177).

Total Amount

$420

General + Research + Ownership

Payments

23

Total payment records

General Amount

$420

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

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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 30080)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1386737922 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Smyrna, Georgia because that is what the record indicates for Unknown Individual.
What if Smyrna, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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