Unknown Individual – Child & Adolescent Psychiatry Physician, NPI 1841387776

Child & Adolescent Psychiatry Physician

Unknown Individual is a healthcare provider. based in Jonesboro, Georgia. specializing in Child & Adolescent Psychiatry Physician. They hold a License No. 056502 (GA). The NPI Number for Unknown Individual is 1841387776

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1841387776

Phone

(770) 603-3632

Address

2400 MT. ZION PARKWAY

Deactivation Date

31 July 2025

Contacts

SOAP Endpoint

https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience24

Completeness85

Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

2400 MT. ZION PARKWAY
KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236
Phone: (770) 603-3632
Fax: (678) 264-1584
Type: Location
Piedmont Road Northeast, Buckhead, Atlanta, Fulton County, Georgia, 30305, United States
NINE PIEDMONT CENTER
ATLANTA, GA 30305
Phone: (404) 364-7070
Fax: (678) 264-1584
Type: Mailing

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 30236)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?

NPI 1841387776 is assigned to Unknown Individual under the national enumeration system.

Why would Unknown Individual's listing show inactive?

Inactive in NPPES means the identifier is not currently active in that dataset.

What does Unknown Individual treat or focus on?

Patients typically see Unknown Individual under the specialty Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.

Where is Unknown Individual's primary listing?

We display Jonesboro, Georgia because that is what the record indicates for Unknown Individual.

Is Unknown Individual a real provider?

This page reflects official NPPES data for NPI 1841387776. Always confirm identity and privileges with the practice and licensing boards.