Unknown Individual – Internal Medicine Physician, NPI 1225149602

Internal Medicine Physician

Unknown Individual is a healthcare provider. based in Mobile, Alabama. specializing in Internal Medicine Physician. They hold a License No. 21190 (AL). The NPI Number for Unknown Individual is 1225149602

Main info

Organization

Inactive

30 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1225149602

Phone

(251) 633-7211

Address

P.O. BOX 7627

Deactivation Date

30 August 2023

Doctor Profile

Medical School Name

UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE

Secondary Phone

2516330123

Graduation Year

1996 (30 years ago)

PAC ID

7315076197

Group Practice PAC ID

1456429281

Professional Enrollment ID

I20100604000046

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

7627, Elmcrest Road, The Enclave at Arundel Preserve, Holiday Mobile Home Estates, Anne Arundel County, Maryland, 21076, United States
MOBILE, AL 366700627
Phone: (251) 633-7211
Fax: (251) 410-6079
Type: Mailing
2451, Fillingim Street, Crichton, Mobile, Mobile County, Alabama, 36617, United States
MOBILE, AL 366172238
Phone: (251) 470-1649
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.

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 36670)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
EMERGENCY MEDICINE	AL	81002	Urinalysis, manual test	29	29

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1456429281View full group profile

Name	Specialty	State
HARIS MANAN (MD)	Internal Medicine	AL
DR. SARA LONG JONES (M.D.)	Internal Medicine	AL
DR. NATHANAEL YOUNG JOHNSTON (MD)	Internal Medicine	AL
MRS. SAMANTHA CURRIE PARKINSON (NP-C)	-	AL
AMANDA POUNCEY (PA-C)	-	AL
KALI CLEMENT MOSELEY	Physician Assistant	LA
NANCY WEBSTER	Physician Assistant	AL
JAMES MATTHEW LINDSEY (PA)	Physician Assistant	AL
SELAH RUTH JOHNSTON (PA)	Physician Assistant	AL
SARA KATE STRINGFELLOW (PA)	-	AL

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?

You can start verification with NPI 1225149602 for Unknown Individual, then check state licensing separately.

Is Unknown Individual's NPI deactivated?

The extract indicates Unknown Individual is not in an active NPI state.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect Unknown Individual on a map?

Expect Mobile, Alabama as a primary anchor for Unknown Individual unless the record lists multiple sites.

How many locations tie to this NPI?

2 practice locations appear in the available data.