Unknown Individual – Pediatrics Physician, NPI 1891745972

Unknown Individual is a healthcare provider. based in Norcross, Georgia. specializing in Pediatrics Physician. They hold a License No. 011034 (GA). The NPI Number for Unknown Individual is 1891745972

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1891745972
Phone
(770) 448-1553
Address
6063 PEACHTREE PKWY
Deactivation Date
16 September 2022
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

  • Flexential Atlanta - Norcross, 2775, Northwoods Parkway, Norcross, Gwinnett County, Georgia, 30071, United States

    STE 202A

    NORCROSS, GA 30092

    Phone: (770) 448-1553

    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.

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 30092)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1891745972 when you need to reference Unknown Individual in forms, claims, or directories.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Norcross, Georgia for Unknown Individual based on available NPPES addresses.
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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