Unknown Individual – Specialist, NPI 1902897705

Unknown Individual is a healthcare provider. based in Mcdonough, Georgia. specializing in Specialist. They hold a License No. 048679 (GA). The NPI Number for Unknown Individual is 1902897705

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902897705
Phone
(770) 389-8950
Address
424 ABBEY SPRINGS WAY
Deactivation Date
17 May 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

  • 424 ABBEY SPRINGS WAY

    MCDONOUGH, GA 302534009

    Phone: (770) 389-8950

    Fax: (770) 389-3848

    Type: Mailing

  • 135, Eagles Walk, Stockbridge, Henry County, Georgia, 30281, United States

    SUITE 200

    STOCKBRIDGE, GA 302817206

    Phone: (770) 389-8950

    Fax: (770) 389-3848

    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 30253)

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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 1902897705 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Other Service Providers in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Mcdonough, Georgia.
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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