Unknown Individual – Clinical Genetics (M.D.) Physician, NPI 1457400855

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Clinical Genetics (M.D.) Physician. They hold a License No. C10003390 (DE). The NPI Number for Unknown Individual is 1457400855

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1457400855
Phone
(904) 390-3610
Address
NEMOURS CHILDRENS CLINIC
Deactivation Date
14 June 2021
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

  • NEMOURS CHILDRENS CLINIC

    P.O. BOX 404112

    ATLANTA, GA 303840001

    Phone: (904) 390-3610

    Fax: (904) 288-5890

    Type: Mailing

  • A.I. DUPONT HOSPITAL FOR CHILDREN

    1600 ROCKLAND ROAD

    WILMINGTON, DE 198033607

    Phone: (302) 651-4000

    Fax: (302) 651-4945

    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 30384)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1457400855.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Clinical Genetics (M.D.) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Atlanta, Georgia in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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