Unknown Individual – Pediatric Adolescent Medicine Physician, NPI 1760559306

Pediatric Adolescent Medicine Physician

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Pediatric Adolescent Medicine Physician. They hold a License No. ME65159 (FL). The NPI Number for Unknown Individual is 1760559306

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1760559306

Phone

(813) 615-7437

Address

PO BOX 404152

Deactivation Date

3 August 2022

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience24

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

PO BOX 404152
ATLANTA, GA 303844152
Phone: (813) 615-7437
Fax: (813) 615-7439
Type: Mailing
East Fletcher Avenue, Tampa, Hillsborough County, Florida, 33592-2123, United States
TAMPA, FL 336134613
Phone: (813) 615-7437
Fax: (813) 615-7439
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.

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 30384)

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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 1760559306 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Does inactive mean outdated data for Unknown Individual?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 Pediatric Adolescent Medicine Physician. Clinical services aligned with this taxonomy classification.

Which community is linked to Unknown Individual?

Unknown Individual shows a connection to Atlanta, Georgia in registry-derived data.

Can I export Unknown Individual's record?

You can download the official NPPES record; we summarize key fields for readability.