Unknown Individual – Family Medicine Physician, NPI 1346229515

Unknown Individual is a healthcare provider. based in Brentwood, Tennessee. specializing in Family Medicine Physician. They hold a License No. 23810 (TN). The NPI Number for Unknown Individual is 1346229515

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1346229515
Phone
(615) 221-1400
Address
PO BOX 5009
Deactivation Date
13 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
7319684477
Graduation Year
1991 (35 years ago)
PAC ID
3375568330
Group Practice PAC ID
7719896414
Professional Enrollment ID
I20051008000136
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

  • Brentwood Post Office, Parkside Avenue, Mount Pleasant, City of Melville, Western Australia, 6154, Australia

    BRENTWOOD, TN 370245009

    Phone: (615) 221-1400

    Fax: (615) 221-1484

    Type: Mailing

  • 5001 E Main St

    Erin, TN 370614115

    Phone: (931) 289-4211

    Type: Location

  • 2545 N Washington Ave

    Brownsville, TN 380121687

    Phone: (931) 289-4211

    Type: Location

  • 270 W Church St Ste A

    Lexington, TN 383512077

    Phone: (731) 968-3646

    Type: Location

  • 200 W CHURCH ST

    LEXINGTON, TN 383512038

    Phone: (731) 968-3646

    Fax: (731) 968-1870

    Type: Mailing

  • 250, Boswell Street, Lexington, Henderson County, Tennessee, 38351, United States

    LEXINGTON, TN 383511566

    Phone: (731) 968-2006

    Fax: (731) 968-9970

    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 $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2023-05-15 • Largest payer in this snapshot: ABBVIE INC. ($45).

Total Amount

$60

General + Research + Ownership

Payments

3

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$45
Dexcom, Inc.$15
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 37024)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETN93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1212

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: 7719896414View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineIL
Nurse PractitionerTN
Emergency Medicine, Internal MedicineTN
Nurse PractitionerTN
Nurse PractitionerTN
General SurgeryOH
Internal MedicineTX
Family PracticeVA
Internal MedicineTN
Family Practice, Emergency MedicineTN

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1346229515.
Is Unknown Individual's inactive status permanent?
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 Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Brentwood, Tennessee because that is what the record indicates for Unknown Individual.
What if Brentwood, Tennessee seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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