Unknown Individual – Emergency Medicine Physician, NPI 1659315984
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
101 LAKE OCONEE PKWY
EATONTON, GA 310246054
Phone: (904) 805-1300
Fax: (904) 805-1302
Type: Location
2237, Austin Lake Drive Southeast, Smyrna, Cobb County, Georgia, 30082, United States
SMYRNA, GA 300823381
Phone: (770) 437-8539
Fax: (770) 437-1850
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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.
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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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 18 | 18 | $0 |
Insurance plans in this area (ZIP 31024)
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