Unknown Individual – Family Medicine Physician, NPI 1952349912

Family Medicine Physician

Unknown Individual is a healthcare provider. based in Panama city beach, Florida. specializing in Family Medicine Physician. They hold a License No. ME77849 (FL). The NPI Number for Unknown Individual is 1952349912

Main info

Organization

Inactive

38 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1952349912

Phone

(850) 588-1066

Address

12111 PANAMA CITY BEACH PKWY

Deactivation Date

24 August 2022

Doctor Profile

Medical School Name

UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE

Secondary Phone

Graduation Year

1988 (38 years ago)

PAC ID

1254391006

Professional Enrollment ID

I20041018001026

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

12111, Panama City Beach Parkway, Panama City Beach, Bay County, Florida, 32407, United States
PANAMA CITY BEACH, FL 324072609
Phone: (850) 588-1066
Fax: (850) 588-1036
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 4 Open Payments records for all available years, with a total value of $94.

Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.

Last reported payment date: 2024-04-19 • Largest payer in this snapshot: ABBVIE INC. ($94).

Total Amount

$94

General + Research + Ownership

Payments

Total payment records

General Amount

$94

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2024-04-19

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
ABBVIE INC.	$94

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.

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

Insurance plans in this area (ZIP 32407)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?

Administrative and clinical systems typically use NPI 1952349912 for Unknown Individual.

Does inactive mean outdated data for Unknown Individual?

Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.

What city is tied to Unknown Individual?

The directory associates Unknown Individual with Panama City Beach, Florida. Check all listed addresses for suites or satellite offices.

Can I export Unknown Individual's record?

You can download the official NPPES record; we summarize key fields for readability.