Unknown Individual – Otolaryngology Physician, NPI 1851356083

Unknown Individual is a healthcare provider. based in Decatur, Georgia. specializing in Otolaryngology Physician. They hold a License No. 019917 (GA). The NPI Number for Unknown Individual is 1851356083

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1851356083
Phone
(404) 292-4000
Address
4288 MEMORIAL DR
Deactivation Date
17 June 2021
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

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Provider Addresses for Unknown Individual

  • Memorial Drive, Decatur, Macon County, Illinois, 62526, United States

    STE D

    DECATUR, GA 300321229

    Phone: (404) 292-4000

    Fax: (404) 299-5461

    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.

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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 30032)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1851356083 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Otolaryngology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Decatur, Georgia?
For routing, start with Decatur, Georgia for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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