Unknown Individual – Neurology Physician, NPI 1235346099

Unknown Individual is a healthcare provider. based in Knoxville, Tennessee. specializing in Neurology Physician. They hold a License No. 49679 (TN). The NPI Number for Unknown Individual is 1235346099

Main info

Organization
Inactive
22 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1235346099
Phone
(865) 546-0157
Address
501 20TH ST
Deactivation Date
14 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
9315985691
Graduation Year
2004 (22 years ago)
PAC ID
5193861797
Group Practice PAC ID
5991765943
Professional Enrollment ID
I20160226002064

Contacts

Secure Messaging
rgilbert677319@direct.vumc.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness85
Years active:0State licenses:2Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • 501, 20th Street, Fort Sanders, Knoxville, Knox County, Tennessee, 37916, United States

    SUITE 505

    KNOXVILLE, TN 379161809

    Phone: (865) 546-0157

    Fax: (865) 546-6144

    Type: Mailing

  • 1894 Cowan Hwy

    Winchester, TN 373982643

    Phone: (931) 967-0450

    Fax: (931) 967-0453

    Type: Location

  • 3841 GREEN HILLS VILLAGE DR STE 200

    NASHVILLE, TN 372152691

    Phone: (615) 936-2000

    Type: Mailing

  • 3601 THE VANDERBILT CLINIC

    NASHVILLE, TN 372322643

    Phone: (615) 322-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $143.

Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.

Last reported payment date: 2024-08-30 • Largest payer in this snapshot: EMD Serono, Inc. ($100).

Total Amount

$143

General + Research + Ownership

Payments

3

Total payment records

General Amount

$143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-30

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.

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

Insurance plans in this area (ZIP 37916)

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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: 5991765943View full group profile
NameSpecialtyState
-TN
O B S T E T R I C S/ G Y N E C O L O G YTN
General SurgeryTN
-TN
-TN
Nurse PractitionerTN
-TN
Nurse PractitionerTN
O B S T E T R I C S/ G Y N E C O L O G YMI
General SurgeryTN

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1235346099 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Neurology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Knoxville, Tennessee?
If you are local to Knoxville, Tennessee, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.