Unknown Individual – Otolaryngology Physician, NPI 1629075833

Unknown Individual is a healthcare provider. based in Marietta, Georgia. specializing in Otolaryngology Physician. They hold a License No. 021471 (GA). The NPI Number for Unknown Individual is 1629075833

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629075833
Phone
(770) 424-1968
Address
833 CAMPBELL HILL STREET
Deactivation Date
14 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 833, Campbell Hill Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States

    SUITE 420

    MARIETTA, GA 300601138

    Phone: (770) 424-1968

    Fax: (770) 424-4782

    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)

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 30060)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1629075833 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Otolaryngology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Marietta, Georgia.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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