Unknown Individual – Family Medicine Physician, NPI 1457459562

Unknown Individual is a healthcare provider. based in Winchester, Tennessee. specializing in Family Medicine Physician. They hold a License No. DO00400 (TN). The NPI Number for Unknown Individual is 1457459562

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1457459562
Phone
(931) 967-7716
Address
1811 SHARP SPRINGS RD
Deactivation Date
8 April 2021

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
9319677716
Graduation Year
1978 (48 years ago)
PAC ID
0840281135
Professional Enrollment ID
I20040525000540
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

  • Sharp Springs Road, Bel-Aire Heights, Winchester, Franklin County, Middle Tennessee, Tennessee, 37398, United States

    WINCHESTER, TN 37398

    Phone: (931) 967-7716

    Fax: (931) 967-2183

    Mailing address matches the actual address.

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 37398)

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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 MEDICINETN20610Aspiration and/or injection of large joint or joint capsule4835
FAMILY MEDICINETN81002Urinalysis, manual test365148
FAMILY MEDICINETN93922Ultrasound study of arteries of both arms and legs6564
FAMILY MEDICINETN94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration8370
FAMILY MEDICINETN98926Osteopathic manipulative treatment to 3-4 body regions1512

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1457459562 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Winchester, Tennessee in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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