Unknown Individual – Cardiovascular Disease Physician, NPI 1609838333

Unknown Individual is a healthcare provider. based in Riverdale, Georgia. specializing in Cardiovascular Disease Physician. They hold a License No. 031446 (GA). The NPI Number for Unknown Individual is 1609838333

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1609838333
Phone
(770) 991-2100
Address
6507 PROFESSIONAL PL
Deactivation Date
13 September 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

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Provider Addresses for Unknown Individual

  • 6507, Professional Place, Riverdale, Clayton County, Georgia, 30274, United States

    RIVERDALE, GA 302744941

    Phone: (770) 991-2100

    Fax: (770) 991-1385

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-04-06 • Largest payer in this snapshot: ABBVIE INC. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$23
View all Open Payments →|Open Payments Risk Radar →

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 30274)

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Provider's Procedures

Unknown Individual performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies4040
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report570479

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1609838333 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Riverdale?
Unknown Individual currently maps to Riverdale, Georgia in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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