Unknown Individual – Internal Medicine Physician, NPI 1497710123

Unknown Individual is a healthcare provider. based in Gadsden, Alabama. specializing in Internal Medicine Physician. They hold a License No. 6370 (AL). The NPI Number for Unknown Individual is 1497710123

Main info

Organization
Inactive
54 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1497710123
Phone
(256) 492-4001
Address
100 MEDICAL CENTER DR
Deactivation Date
6 November 2025

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2563931713
Graduation Year
1972 (54 years ago)
PAC ID
2163421751
Professional Enrollment ID
I20061208000197
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

Provider Addresses for Unknown Individual

  • 100 MEDICAL CENTER DR

    STE. 207

    GADSDEN, AL 359031134

    Phone: (256) 492-4001

    Fax: (256) 492-4031

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3831$0
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Insurance plans in this area (ZIP 35903)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1497710123?
NPI 1497710123 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Gadsden, Alabama.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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