Unknown Individual – Emergency Registered Nurse, NPI 1891723813

Unknown Individual is a healthcare provider. based in Mableton, Georgia. specializing in Emergency Registered Nurse. They hold a License No. R047628 (GA). The NPI Number for Unknown Individual is 1891723813

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1891723813
Phone
(404) 728-7614
Address
5966 LAKESHORE DR SE
Deactivation Date
16 April 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 5966 LAKESHORE DR SE

    MABLETON, GA 301263621

    Phone: (404) 728-7614

    Type: Mailing

  • Atlanta VA Medical Center, 1670, Clairmont Road, North Decatur, DeKalb County, Georgia, 30033, United States

    DECATUR, GA 300334004

    Phone: (404) 321-6111

    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 30126)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1891723813 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Emergency Registered Nurse for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Mableton, Georgia because that is what the record indicates for Unknown Individual.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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