Unknown Individual – Psychiatry Physician, NPI 1023073350

Unknown Individual is a healthcare provider. based in Pensacola, Florida. specializing in Psychiatry Physician. They hold a License No. ME135947 (FL). The NPI Number for Unknown Individual is 1023073350

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1023073350
Phone
(850) 469-3500
Address
1221 W LAKEVIEW AVE
Deactivation Date
22 January 2026

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
8504693500
Graduation Year
2001 (25 years ago)
PAC ID
9931120557
Group Practice PAC ID
3375439904
Professional Enrollment ID
I20180705000630
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

  • 1221, West Lakeview Avenue, Pensacola, Escambia County, Florida, 32501, United States

    PENSACOLA, FL 325011836

    Phone: (850) 469-3500

    Fax: (850) 595-1400

    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)

CMS reports 80 Open Payments records for all available years, with a total value of $1,521.

Total Amount is formed as General ($1,521) + Research ($0) + Ownership ($0) = $1,521.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: ABBVIE INC. ($273).

Total Amount

$1,521

General + Research + Ownership

Payments

80

Total payment records

General Amount

$1,521

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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 minutes364124$0
99214Established patient office or other outpatient visit, 30-39 minutes3227$0
90792Psychiatric diagnostic evaluation with medical services2626$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2511$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1913$0
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Insurance plans in this area (ZIP 32501)

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Provider's Procedures

Unknown Individual performs procedures in Psychiatry Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYAL90792Psychiatric diagnostic evaluation with medical services1212

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: 3375439904View full group profile
NameSpecialtyState
-FL
Mental Health CounselorFL
Nurse PractitionerFL
Nurse PractitionerTN
Nurse PractitionerFL
Mental Health CounselorFL
-FL
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1023073350?
NPI 1023073350 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.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Pensacola?
Public fields place Unknown Individual around Pensacola, Florida. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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