Unknown Individual – Hematology & Oncology Physician, NPI 1396700431

Unknown Individual is a healthcare provider. based in Opelika, Alabama. specializing in Hematology & Oncology Physician. They hold a License No. 23322 (AL). The NPI Number for Unknown Individual is 1396700431

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1396700431
Phone
(334) 528-4411
Address
2000 PEPPERELL PKWY
Deactivation Date
16 March 2022

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
5698725935
Group Practice PAC ID
3072403237
Professional Enrollment ID
I20050125000659
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

  • 2000, Pepperell Parkway, Five Points, Opelika, Lee County, Alabama, 36801, United States

    OPELIKA, AL 368015452

    Phone: (334) 528-4411

    Fax: (334) 528-4414

    Mailing address matches the actual address.

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 36801)

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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: 3072403237View full group profile
NameSpecialtyState
Gynecological OncologyAL
Nurse PractitionerAL
Critical Care (Intensivists)AL
E N D O C R I N O L O G YMS
Emergency MedicineGA
-AL
Nurse PractitionerAL
Physician AssistantFL
Emergency Medicine, Family PracticeAL
-GA

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1396700431.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Opelika, Alabama?
For routing, start with Opelika, Alabama for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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