Unknown Individual – Pain Medicine (Anesthesiology) Physician, NPI 1881630523

Unknown Individual is a healthcare provider. based in Tallahassee, Florida. specializing in Pain Medicine (Anesthesiology) Physician. They hold a License No. ME73982 (FL). The NPI Number for Unknown Individual is 1881630523

Main info

Organization
Inactive
34 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1881630523
Phone
(850) 431-3276
Address
2727 CAPITAL MEDICAL BLVD.
Deactivation Date
14 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8504313276
Graduation Year
1992 (34 years ago)
PAC ID
6002880101
Group Practice PAC ID
6103724778
Professional Enrollment ID
I20040824000970
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

  • 2727, Capital Medical Boulevard, Tallahassee, Leon County, Florida, 32308, United States

    CHRONIC PAIN MANAGEMENT

    TALLAHASSEE, FL 32308

    Phone: (850) 431-3276

    Fax: (850) 656-3814

    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 32308)

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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: 6103724778View full group profile
NameSpecialtyState
R H E U M A T O L O G YKY
Cardiovascular Disease (Cardiology), Internal MedicineFL
Physician AssistantFL
E N D O C R I N O L O G YMN
-FL
Internal MedicineFL
-IA
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerOH

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 1881630523.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Tallahassee?
Unknown Individual currently maps to Tallahassee, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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