Unknown Individual – Emergency Medicine Physician, NPI 1265471452

Unknown Individual is a healthcare provider. based in Owens cross roads, Alabama. specializing in Emergency Medicine Physician. They hold a License No. 00026864 (AL). The NPI Number for Unknown Individual is 1265471452

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1265471452
Phone
(615) 497-0225
Address
2908 HONORS ROW SE
Deactivation Date
22 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9314381100
Graduation Year
1988 (38 years ago)
PAC ID
2860386489
Group Practice PAC ID
8123251766
Professional Enrollment ID
I20040924000853
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

Loading map...

Provider Addresses for Unknown Individual

  • 2908 HONORS ROW SE

    OWENS CROSS ROADS, AL 357639338

    Phone: (615) 497-0225

    Type: Mailing

  • 1033, South College Street, Winchester, Franklin County, Middle Tennessee, Tennessee, 37398, United States

    WINCHESTER, TN 373982262

    Phone: (615) 497-0225

    Fax: (206) 338-4030

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 35763)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Emergency Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINETN93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report3131

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: 8123251766View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1265471452 in the public NPI dataset.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Owens Cross Roads, Alabama in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

DR. GAIL L BUNDOW (MD)

Emergency Medicine Physician
Edgehill Drive Southeast, Willow Hills Estates, Huntsville, Madison County, Alabama, 35802, United States
NPI: 1881696128
PO BOX 786
NPI: 1730183435

Unknown Individual

Emergency Medicine Physician
PO BOX 2587
NPI: 1063416766

DR. DIANNA G OSBORN (MD)

Emergency Medicine Physician
205 MARENGO ST
NPI: 1194729806

DR. PAUL A SOUTHALL (MD)

Emergency Medicine Physician
205 MARENGO ST
NPI: 1902800618