Unknown Individual – Orthopaedic Surgery Physician, NPI 1396890950

Unknown Individual is a healthcare provider. based in Athens, Tennessee. specializing in Orthopaedic Surgery Physician. They hold a License No. 37760 (TN). The NPI Number for Unknown Individual is 1396890950

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1396890950
Phone
(423) 746-2941
Address
PO BOX 966
Deactivation Date
6 February 2025

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1977 (49 years ago)
PAC ID
8921089244
Group Practice PAC ID
2163490319
Professional Enrollment ID
I20040525000070
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

  • PO BOX 966

    ATHENS, TN 373710966

    Phone: (423) 746-2941

    Fax: (423) 746-2943

    Type: Mailing

  • 719, Cook Drive, Athens, Athens County, Ohio, 45701, United States

    SUITE 104

    ATHENS, TN 373033495

    Phone: (423) 746-2941

    Fax: (423) 746-2943

    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.

This can happen when there are no reportable CMS Open Payments records.

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 37371)

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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: 2163490319View full group profile
NameSpecialtyState
Orthopedic SurgeryMI
Family PracticeTN
Internal MedicineKY
Cardiovascular Disease (Cardiology)TN
General SurgeryPA
Family PracticeTN
Family PracticeOR
Undefined Physician Type (Specify), Nurse PractitionerTN
Nurse PractitionerTN
Hematology, Hospice/Palliative CareTN

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1396890950 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Orthopaedic Surgery Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Athens, Tennessee as a primary anchor for Unknown Individual unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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