Unknown Individual – Family Medicine Physician, NPI 1255316279

Unknown Individual is a healthcare provider. based in Panama city beach, Florida. specializing in Family Medicine Physician. They hold a License No. ME 101137 (FL). The NPI Number for Unknown Individual is 1255316279

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1255316279
Phone
(850) 230-2700
Address
22606 PANAMA CITY BEACH PKWY
Deactivation Date
5 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
6507840212
Professional Enrollment ID
I20080729000717
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

  • 22606, Panama City Beach Parkway, Whisper Dunes, Panama City Beach, Bay County, Florida, 32413, United States

    PANAMA CITY BEACH, FL 324131150

    Phone: (850) 230-2700

    Fax: (850) 230-2725

    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 30 Open Payments records for all available years, with a total value of $621.

Total Amount is formed as General ($621) + Research ($0) + Ownership ($0) = $621.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: ABBVIE INC. ($145).

Total Amount

$621

General + Research + Ownership

Payments

30

Total payment records

General Amount

$621

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

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
J1100Injection, dexamethasone sodium phosphate, 1 mg1,508121$0
99214Established patient office or other outpatient visit, 30-39 minutes943333$0
99213Established patient office or other outpatient visit, 20-29 minutes450191$0
J1030Injection, methylprednisolone acetate, 40 mg421120$0
96372Injection of drug or substance under skin or into muscle182103$0
View full utilization report →

Insurance plans in this area (ZIP 32413)

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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 MEDICINEFL81002Urinalysis, manual test2217

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 1255316279.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Panama City Beach?
Unknown Individual currently maps to Panama City Beach, Florida in this extract.
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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