Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1902835523

Unknown Individual is a healthcare provider. based in Decatur, Georgia. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold a License No. 034687 (GA). The NPI Number for Unknown Individual is 1902835523

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902835523
Phone
(404) 728-7772
Address
1670 CLAIRMONT RD
Deactivation Date
30 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

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

    DECATUR, GA 300334004

    Phone: (404) 728-7772

    Type: Location

  • 170, Hurt Street Northeast, Inman Park, Atlanta, Fulton County, Georgia, 30307, United States

    ATLANTA, GA 303072538

    Phone:

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

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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 ·

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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

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1902835523 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Decatur?
Unknown Individual currently maps to Decatur, Georgia in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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