Unknown Individual – Internal Medicine Physician, NPI 1932102746

Unknown Individual is a healthcare provider. based in Pensacola, Florida. specializing in Internal Medicine Physician. They hold a License No. ME35416 (FL). The NPI Number for Unknown Individual is 1932102746

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1932102746
Phone
(850) 477-3252
Address
2120 E JOHNSON AVE STE 100
Deactivation Date
4 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8504773252
Graduation Year
1978 (48 years ago)
PAC ID
3971403742
Group Practice PAC ID
2466352224
Professional Enrollment ID
I20070313000278
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

  • 2120 E JOHNSON AVE STE 100

    PENSACOLA, FL 325146091

    Phone: (850) 477-3252

    Fax: (850) 477-2659

    Type: Mailing

  • North Davis Highway, Ferry Pass, Pensacola, Escambia County, Florida, 32504, United States

    STE C-1

    PENSACOLA, FL 325032734

    Phone: (850) 477-3252

    Fax: (850) 477-2659

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $351.

Total Amount is formed as General ($351) + Research ($0) + Ownership ($0) = $351.

Last reported payment date: 2023-10-25 • Largest payer in this snapshot: PFIZER INC. ($64).

Total Amount

$351

General + Research + Ownership

Payments

18

Total payment records

General Amount

$351

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-25

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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month513202$0
99214Established patient office or other outpatient visit, 30-39 minutes361226$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month313148$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a182107$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and9892$0
View full utilization report →

Insurance plans in this area (ZIP 32514)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEFL17003Destruction of 2-14 skin growths5146
INTERNAL MEDICINEFL82270Stool analysis for blood to screen for colon tumors1818
INTERNAL MEDICINEFL85610Blood test, clotting time29940

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: 2466352224View full group profile
NameSpecialtyState
Physician AssistantFL
Physician AssistantFL
Family PracticeFL
-FL
Family PracticeFL
Physician AssistantAL
-FL
Family PracticeFL
Physician AssistantFL

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1932102746 in the public NPI dataset.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Pensacola, Florida; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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