Unknown Individual – Family Medicine Physician, NPI 1407802283

Unknown Individual is a healthcare provider. based in Mobile, Alabama. specializing in Family Medicine Physician. They hold a License No. 6257 (AL). The NPI Number for Unknown Individual is 1407802283

Main info

Organization
Inactive
61 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1407802283
Phone
(251) 602-1911
Address
3737 GOVERNMENT BLVD
Deactivation Date
5 February 2026

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2516021911
Graduation Year
1965 (61 years ago)
PAC ID
0749180909
Group Practice PAC ID
6709858335
Professional Enrollment ID
I20040113000133
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

  • Government Boulevard, Mobile, Mobile County, Alabama, 36601, United States

    SUITE 408

    MOBILE, AL 366934308

    Phone: (251) 602-1911

    Fax: (251) 602-1850

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2023-11-09 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($19).

Total Amount

$33

General + Research + Ownership

Payments

3

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes41735$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes17585$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes16933$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes10085$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes6452$0
View full utilization report →

Insurance plans in this area (ZIP 36693)

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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: 6709858335View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1407802283 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Mobile, Alabama for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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