Unknown Individual – Neurological Surgery Physician, NPI 1659309870

Neurological Surgery Physician

Unknown Individual is a healthcare provider. based in Panama city, Florida. specializing in Neurological Surgery Physician. They hold a License No. ME0018562 (FL). The NPI Number for Unknown Individual is 1659309870

Main info

Organization

Inactive

59 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1659309870

Phone

(850) 769-3261

Address

2011 HARRISON AVENUE

Deactivation Date

3 March 2022

Doctor Profile

Medical School Name

MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE

Secondary Phone

8507693261

Graduation Year

1967 (59 years ago)

PAC ID

4486637725

Group Practice PAC ID

3779566013

Professional Enrollment ID

I20101122001103

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience19

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

2011, Harrison Avenue, Harrison Place, Panama City, Bay County, Florida, 32405, United States
PANAMA CITY, FL 32405
Phone: (850) 769-3261
Fax: (850) 785-6388
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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32405)

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Provider's Procedures

Unknown Individual performs procedures in Neurological Surgery Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
NEUROSURGERY	FL	64493	Injections of lower or sacral spine facet joint using imaging guidance	84	45

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: 3779566013View full group profile

Name	Specialty	State
JEANNIE FARRIS (APRN)	Nurse Practitioner	FL
KHURRAM NAZIR (M.D.)	N E U R O L O G Y	IN
KAMEL ELZAWAHRY (MD)	N E U R O L O G Y	FL
ALEX S APPLEWHITE COX (APRN)	Nurse Practitioner	FL
MOHAMED ELDOKMAK (MD)	N E U R O L O G Y	FL
DR. GRANT ADAM KIDD (D.O.)	Neurology, Interventional Pain Management	FL
MRS. KARIN STRINGER MADDOX (M.D.)	N E U R O L O G Y	FL
HODA K ELZAWAHRY (M.D.)	Neuropsychiatry, Neurology	IN

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?

NPI 1659309870 is assigned to Unknown Individual under the national enumeration system.

Is Unknown Individual's inactive status permanent?

An inactive NPI does not by itself prove someone stopped practicing — check other sources.

What does Unknown Individual treat or focus on?

Patients typically see Unknown Individual under the specialty Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.

Does Unknown Individual practice in Florida?

You will see Panama City, Florida on file for Unknown Individual alongside any extra practice locations.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.