Unknown Individual – Physician Assistant, NPI 1861700247

Unknown Individual is a healthcare provider. based in Roswell, Georgia. specializing in Physician Assistant. They hold a License No. 002616 (GA). The NPI Number for Unknown Individual is 1861700247

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1861700247
Phone
Not provided
Address
290 NESBIT ENTRY DR
Deactivation Date
17 December 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 290 NESBIT ENTRY DR

    ROSWELL, GA 300763471

    Phone:

    Type: Mailing

  • 10160 MEDLOCK BRIDGE RD

    SUITE A

    JOHNS CREEK, GA 300974419

    Phone: (678) 387-1600

    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.

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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 30076)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1861700247.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Roswell?
Unknown Individual currently maps to Roswell, Georgia in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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