Unknown Individual – Family Medicine Physician, NPI 1013931013

Unknown Individual is a healthcare provider. based in Brentwood, Tennessee. specializing in Family Medicine Physician. They hold a License No. 2009-00300 (NC). The NPI Number for Unknown Individual is 1013931013

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1013931013
Phone
(615) 920-7000
Address
330 SEVEN SPRINGS WAY
Deactivation Date
3 April 2025

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
0345137279
Professional Enrollment ID
I20090507000388
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 330 SEVEN SPRINGS WAY

    ATTN: PROVIDER ENROLLMENT

    BRENTWOOD, TN 370275098

    Phone: (615) 920-7000

    Fax: (615) 920-8775

    Type: Mailing

  • 2412, Wilkins Drive, Brookwood, Sanford, Lee County, North Carolina, 27330, United States

    SANFORD, NC 273307268

    Phone: (919) 776-6000

    Fax: (919) 776-0130

    Type: Location

  • 1201 Carolina Ave

    Washington, NC 278893571

    Phone: (252) 975-1111

    Fax: (252) 975-6696

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2023-11-08 • Largest payer in this snapshot: Abbott Laboratories ($24).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-08

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
99214Established patient office or other outpatient visit, 30-39 minutes261124$0
36415Insertion of needle into vein for collection of blood sample3733$0
View full utilization report →

Insurance plans in this area (ZIP 37027)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1013931013.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Brentwood, Tennessee; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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