Unknown Individual – Diagnostic Radiology Physician, NPI 1073590329

Diagnostic Radiology Physician

Unknown Individual is a healthcare provider. based in Nashville, Tennessee. specializing in Diagnostic Radiology Physician. They hold a License No. 12978 (TN). The NPI Number for Unknown Individual is 1073590329

Main info

Organization

Inactive

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1073590329

Phone

(615) 312-0600

Address

210 25TH AVE N STE 1204

Deactivation Date

5 April 2023

Doctor Profile

Medical School Name

UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE

Secondary Phone

6153120600

Graduation Year

null (2026 years ago)

PAC ID

7113941303

Group Practice PAC ID

1850280470

Professional Enrollment ID

I20101215000125

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

210 25TH AVE N STE 1204
NASHVILLE, TN 372031620
Phone: (615) 312-0600
Fax: (615) 320-3259
Type: Mailing
210, 25th Avenue North, Nashville, Davidson County, Tennessee, 37203, United States
SUITE 602
NASHVILLE, TN 37203
Phone: (615) 312-0600
Fax: (615) 320-3259
Type: Mailing
25th Avenue North, Nashville, Davidson County, Tennessee, 37203, United States
NASHVILLE, TN 372031631
Phone: (615) 312-0600
Fax: (615) 320-3259
Type: Location

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.

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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 37203)

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Provider's Procedures

Unknown Individual performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
DIAGNOSTIC RADIOLOGY	TN	73110	X-ray of wrist, minimum of 3 views	60	46
DIAGNOSTIC RADIOLOGY	TN	73562	X-ray of knee, 3 views	133	113
DIAGNOSTIC RADIOLOGY	TN	73630	X-ray of foot, minimum of 3 views	96	73

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: 1850280470View full group profile

Name	Specialty	State
MELINDA RIXEY SAVA (M.D.)	Diagnostic Radiology	TN
SCOTT HOLMES LONG (M.D.)	Diagnostic Radiology	TN
DR. DANIEL RICHARDS FULLMER (MD)	Diagnostic Radiology	MN
DR. TIMOTHY B SR. DONOVAN (MD)	Diagnostic Radiology	MN
DR. LAURA M WIKE (MD)	Diagnostic Radiology	MN
DARREN L CAIN (M.D.)	Diagnostic Radiology, Internal Medicine	KY
DR. MARTIN I JORDANOV (MD)	Diagnostic Radiology	TN
MARK A TALLEY (MD)	-	TN
DR. JAMES T HOLBROOK (MD)	Diagnostic Radiology	TN
DR. KENNETH HAWKINS (MD)	Diagnostic Radiology	TN

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?

Save NPI 1073590329 if you need a stable reference for Unknown Individual.

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 Diagnostic Radiology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.

Does Unknown Individual practice in Tennessee?

You will see Nashville, Tennessee on file for Unknown Individual alongside any extra practice locations.

How can I contact Unknown Individual?

Phone or fax may appear on the official NPI record when supplied — verify before relying on them.