Unknown Individual – Family Medicine Physician, NPI 1174504641

Unknown Individual is a healthcare provider. based in Hampton, Arkansas. specializing in Family Medicine Physician. They hold a License No. E6834 (AR). The NPI Number for Unknown Individual is 1174504641

Main info

Organization
Inactive
26 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1174504641
Phone
(870) 798-4064
Address
PO BOX 1196
Deactivation Date
15 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8707984299
Graduation Year
2000 (26 years ago)
PAC ID
7416041694
Group Practice PAC ID
9133029234
Professional Enrollment ID
I20140826000699
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

  • Hampton, 40, North Main Street, Brigham City, Box Elder County, Utah, 84302, United States

    HAMPTON, AR 717441196

    Phone: (870) 798-4064

    Fax: (870) 798-4100

    Type: Mailing

  • South Concord Street, Strong, Union County, Arkansas, 71765, United States

    STRONG, AR 717650565

    Phone: (870) 797-7620

    Fax: (870) 798-4100

    Type: Location

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
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count131120$0
83036Hemoglobin a1c level12785$0
80053Blood test, comprehensive group of blood chemicals125112$0
81003Automated urinalysis test7854$0
80061Blood test, lipids (cholesterol and triglycerides)7473$0
View full utilization report →

Insurance plans in this area (ZIP 71744)

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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: 9133029234View full group profile

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1174504641; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Hampton, Arkansas for Unknown Individual; download NPPES for the complete set.
What if Hampton, Arkansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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