Unknown Individual – Emergency Medicine Physician, NPI 1700821774

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Emergency Medicine Physician. They hold a License No. 030054 (GA). The NPI Number for Unknown Individual is 1700821774

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1700821774
Phone
(800) 443-3672
Address
P. O. BOX 162970
Deactivation Date
3 April 2025
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

Loading map...

Provider Addresses for Unknown Individual

  • P. O. BOX 162970

    ATLANTA, GA 303212970

    Phone: (800) 443-3672

    Type: Mailing

  • One Door Polk, 424, North Main Street, Cedartown, Polk County, Georgia, 30125, United States

    CEDARTOWN, GA 301252644

    Phone: (770) 748-2500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 30321)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1700821774 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Atlanta, Georgia for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

DAVID SCHENCK (MD)

Emergency Medicine Physician
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
NPI: 1235132101

DR. RONALD BEAUDREAU (MD)

Emergency Medicine Physician
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
NPI: 1356345136

DR. SAL J WAMBSGANS (MD)

Emergency Medicine Physician
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
NPI: 1770587560

DR. THOMAS HARDING III SMITH (MD)

Emergency Medicine Physician
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
NPI: 1386648079

DR. DOUGLAS ARLAN II OLSON (MD)

Emergency Medicine Physician
6280 LAKEAIRES DR
NPI: 1689678377

DR. CHAD JUDE ALEMAN (MD)

Phlebology Physician
1455 LINCOLN PKWY E
NPI: 1942204557

DR. NICHOLAS ANTHONY PAUL MARTYAK (MD)

Emergency Medicine Physician
396, Lakeshore Drive Northeast, Lake Claire, Atlanta, DeKalb County, Georgia, 30307, United States
NPI: 1316946817

DR. ERIC AKONWI MABO (MD)

Emergency Medicine Physician
898 College St
NPI: 1811997794

DR. NICK EDWARD COLOVOS (MD)

Emergency Medicine Physician
Atlanta, Kunene Region, Namibia
NPI: 1780684282