Unknown Individual – Psychiatry Physician, NPI 1609963313

Unknown Individual is a healthcare provider. based in Mcdonough, Georgia. specializing in Psychiatry Physician. They hold a License No. 17571 (GA). The NPI Number for Unknown Individual is 1609963313

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1609963313
Phone
(770) 389-8100
Address
2340 PATRICK HENRY PARKWAY
Deactivation Date
18 May 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

  • 2340 PATRICK HENRY PARKWAY

    SUITE 225

    MCDONOUGH, GA 302534217

    Phone: (770) 389-8100

    Fax: (770) 389-3030

    Type: Mailing

  • 2340 PATRICK HENRY PKWY

    SUITE 225

    MCDONOUGH, GA 302534325

    Phone: (770) 389-8100

    Fax: (770) 389-3030

    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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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 30253)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1609963313 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Psychiatry Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Mcdonough, Georgia for Unknown Individual; download NPPES for the complete set.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1609963313. Always confirm identity and privileges with the practice and licensing boards.

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