Unknown Individual – Family Medicine Physician, NPI 1508892357

Unknown Individual is a healthcare provider. based in Courtland, Alabama. specializing in Family Medicine Physician. They hold a License No. 00020204 (AL). The NPI Number for Unknown Individual is 1508892357

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1508892357
Phone
(256) 637-8033
Address
350 TENNESSEE STREET
Deactivation Date
26 September 2022

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
2566378033
Graduation Year
1995 (31 years ago)
PAC ID
7911948286
Group Practice PAC ID
6406895382
Professional Enrollment ID
I20050517000521
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

  • 350, Tennessee Street, Terry Heights, Courtland, Lawrence County, Alabama, 35618, United States

    PO BOX 320

    COURTLAND, AL 356180320

    Phone: (256) 637-8033

    Fax: (256) 637-9424

    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 35618)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEAL81002Urinalysis, manual test7151

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: 6406895382View full group profile
NameSpecialtyState
Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerAL
Emergency Medicine, Internal MedicineFL
Family Practice, Internal MedicineAL
Nurse PractitionerAL
Emergency Medicine, General SurgeryAL
Emergency MedicineAL
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1508892357 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Courtland, Alabama in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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