Unknown Individual – Internal Medicine Physician, NPI 1386706752

Unknown Individual is a healthcare provider. based in Muscle shoals, Alabama. specializing in Internal Medicine Physician. They hold a License No. 5986 (AL). The NPI Number for Unknown Individual is 1386706752

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386706752
Phone
(256) 386-0808
Address
PO BOX 2550
Deactivation Date
23 March 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
2563864196
Graduation Year
1966 (60 years ago)
PAC ID
2860485380
Group Practice PAC ID
1759609324
Professional Enrollment ID
I20040630000994
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

  • Muscle Shoals Post Office, Southeast Sheffield Avenue, Jackson Heights, Muscle Shoals, Colbert County, Alabama, 35661, United States

    MUSCLE SHOALS, AL 35661

    Phone: (256) 386-0808

    Fax: (256) 389-8904

    Type: Mailing

  • Avalon Avenue, East Haven, Muscle Shoals, Colbert County, Alabama, 35661, United States

    SUITE C

    MUSCLE SHOALS, AL 35661

    Phone: (256) 386-0808

    Fax: (256) 389-8904

    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 35661)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEAL85610Blood test, clotting time37046
INTERNAL MEDICINEAL90670Pneumococcal vaccine for injection into muscle4343
INTERNAL MEDICINEAL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report739554

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: 1759609324View full group profile
NameSpecialtyState
-AL

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1386706752 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Muscle Shoals, Alabama for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1386706752. Always confirm identity and privileges with the practice and licensing boards.

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