Unknown Individual – Family Medicine Physician, NPI 1891778932

Unknown Individual is a healthcare provider. based in Decatur, Georgia. specializing in Family Medicine Physician. They hold a License No. 40456 (GA). The NPI Number for Unknown Individual is 1891778932

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1891778932
Phone
(404) 321-6111
Address
1670 CLAIRMONT RD
Deactivation Date
13 April 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

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

    DECATUR, GA 300334004

    Phone: (404) 321-6111

    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 30033)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1891778932 when you need to reference Unknown Individual in forms, claims, or directories.
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 Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Georgia?
You will see Decatur, Georgia on file for Unknown Individual alongside any extra practice locations.
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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