Unknown Individual – Psychiatry Physician, NPI 1265699227

Unknown Individual is a healthcare provider. based in Vestavia, Alabama. specializing in Psychiatry Physician. They hold a License No. ME.143413 (FL). The NPI Number for Unknown Individual is 1265699227

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1265699227
Phone
(251) 270-2911
Address
1000 URBAN CENTER DR
Deactivation Date
20 March 2024

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
2512140040
Graduation Year
2003 (23 years ago)
PAC ID
5890944045
Group Practice PAC ID
1658653548
Professional Enrollment ID
I20121003000062
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1000, Urban Center Drive, Vestavia Hills, Jefferson County, Alabama, 35242, United States

    STE 600

    VESTAVIA, AL 352422584

    Phone: (251) 270-2911

    Fax: (251) 586-8599

    Type: Mailing

  • 28740 US HIGHWAY 98 STE 9

    DAPHNE, AL 365267207

    Phone: (251) 290-8706

    Fax: (251) 586-8599

    Type: Location

  • 328 W CLAIBORNE ST

    MONROEVILLE, AL 364601738

    Phone: (251) 575-4203

    Fax: (251) 575-9459

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2023-06-30 • Largest payer in this snapshot: ABBVIE INC. ($72).

Total Amount

$87

General + Research + Ownership

Payments

5

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-30

Latest reported date

Top Companies

Largest payers in this snapshot

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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 35242)

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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: 1658653548View full group profile
NameSpecialtyState
Family PracticeAL
Addiction MedicineAL
Emergency Medicine, General Practice, Pediatric MedicineFL
Nurse PractitionerAL
-AL
-AL
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1265699227 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Psychiatry Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Vestavia, Alabama because that is what the record indicates for Unknown Individual.
What if Vestavia, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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