Unknown Individual – Family Medicine Physician, NPI 1689776296

Unknown Individual is a healthcare provider. based in Arab, Alabama. specializing in Family Medicine Physician. They hold a License No. 9295 (AL). The NPI Number for Unknown Individual is 1689776296

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1689776296
Phone
(256) 586-2976
Address
154 SOUTH MAIN STREET
Deactivation Date
19 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
2565862976
Graduation Year
1979 (47 years ago)
PAC ID
9739089517
Professional Enrollment ID
I20040109000185
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

  • 154, South Main Street, Arab, Marshall County, Alabama, 35016, United States

    ARAB, AL 35016

    Phone: (256) 586-2976

    Fax: (256) 586-2121

    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
99213Established patient office or other outpatient visit, 20-29 minutes8665$0
J1100Injection, dexamethasone sodium phosphate, 1 mg8419$0
J0696Injection, ceftriaxone sodium, per 250 mg8419$0
99214Established patient office or other outpatient visit, 30-39 minutes7157$0
96372Injection of drug or substance under skin or into muscle4221$0
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Insurance plans in this area (ZIP 35016)

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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 MEDICINEAL82270Stool analysis for blood to screen for colon tumors8787

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1689776296.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Arab?
Unknown Individual currently maps to Arab, Alabama in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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