Unknown Individual – Family Medicine Physician, NPI 1104872548
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
101, Lexington Drive, Chapel Hill, Orange County, North Carolina, 27516, United States
LEXINGTON, AL 35648
Phone: (256) 229-6262
Type: Location
2095 FLORENCE BLVD
FLORENCE, AL 356302751
Phone: (256) 766-2310
Type: Location
Muscle Shoals Post Office, Southeast Sheffield Avenue, Jackson Heights, Muscle Shoals, Colbert County, Alabama, 35661, United States
MUSCLE SHOALS, AL 356622587
Phone: (256) 383-4473
Fax: (256) 320-7280
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-01-10 • Largest payer in this snapshot: Lilly USA, LLC ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $14 |
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 35648)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| - | AL | |
| - | AL | |
| General Practice | AL | |
| Nurse Practitioner | AL | |
| Family Practice | MS | |
| Family Practice | AL | |
| - | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL |
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