Unknown Individual – Nutritionist, NPI 1710345616

Nutritionist

Unknown Individual is a healthcare provider. based in Decatur, Georgia. specializing in Nutritionist. The NPI Number for Unknown Individual is 1710345616

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1710345616

Phone

Not provided

Address

2903 CEDAR BROOK DR

Deactivation Date

6 February 2025

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience5

Completeness75

Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

2903 CEDAR BROOK DR
DECATUR, GA 300336028
Phone:
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.

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 30033)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?

Administrative and clinical systems typically use NPI 1710345616 for Unknown Individual.

Does inactive mean outdated data for Unknown Individual?

Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Nutritionist. Clinical services aligned with this taxonomy classification.

What geographic area is tied to Unknown Individual?

Unknown Individual is associated with Decatur, Georgia in the same public data insurers reference.

Why is information missing for Unknown Individual?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.