Unknown Individual – Specialist, NPI 1861442568

Unknown Individual is a healthcare provider. based in Tallahassee, Florida. specializing in Specialist. They hold a License No. ME0014452 (FL). The NPI Number for Unknown Individual is 1861442568

Main info

Organization
Inactive
58 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1861442568
Phone
(850) 878-2165
Address
1871 Professional Park Cir
Deactivation Date
19 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1968 (58 years ago)
PAC ID
5193904340
Professional Enrollment ID
I20110120000689
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

Provider Addresses for Unknown Individual

  • 1871 Professional Park Cir

    Tallahassee, FL 323084506

    Phone: (850) 878-2165

    Fax: (850) 878-5348

    Type: Location

  • 1871, Professional Park Circle, Tallahassee, Leon County, Florida, 32308, United States

    TALLAHASSEE, FL 323084506

    Phone: (850) 878-2165

    Fax: (850) 878-5348

    Type: Mailing

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.

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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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
69210Removal of impacted ear wax2019$0
99213Established patient office or other outpatient visit, 20-29 minutes1815$0
View full utilization report →

Insurance plans in this area (ZIP 32308)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1861442568 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Other Service Providers for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Tallahassee, Florida because that is what the record indicates for Unknown Individual.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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