Unknown Individual – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1699889873

Unknown Individual is a healthcare provider. based in Huntsville, Alabama. specializing in Hospice and Palliative Medicine (Family Medicine) Physician. They hold a License No. DO 287 (AL). The NPI Number for Unknown Individual is 1699889873

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1699889873
Phone
(256) 265-1198
Address
101 Sivley Rd SW
Deactivation Date
17 November 2022

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
2562651198
Graduation Year
1991 (35 years ago)
PAC ID
6507841491
Group Practice PAC ID
2365696622
Professional Enrollment ID
I20100805000117
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 101 Sivley Rd SW

    Huntsville, AL 358014421

    Phone: (256) 265-1198

    Fax: (256) 265-1195

    Type: Location

  • Huntsville Post Office, Jefferson Street North, Huntsville, Madison County, Alabama, 35801, United States

    HUNTSVILLE, AL 358042705

    Phone:

    Type: Mailing

  • 122, North Snead Street, Boaz, Marshall County, Alabama, 35957, United States

    BOAZ, AL 359571763

    Phone: (256) 840-5800

    Fax: (256) 840-5600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 35801)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1699889873 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Hospice and Palliative Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Huntsville, Alabama?
For routing, start with Huntsville, Alabama for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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