Unknown Individual – General Practice Physician, NPI 1720070840

Unknown Individual is a healthcare provider. based in Brentwood, Tennessee. specializing in General Practice Physician. They hold a License No. 5205 (SC). The NPI Number for Unknown Individual is 1720070840

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1720070840
Phone
(615) 920-7878
Address
330 SEVEN SPRINGS WAY
Deactivation Date
8 April 2021

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
8032547889
Graduation Year
1966 (60 years ago)
PAC ID
2062538382
Group Practice PAC ID
9638475627
Professional Enrollment ID
I20100923001405
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

Loading map...

Provider Addresses for Unknown Individual

  • 330 SEVEN SPRINGS WAY

    BRENTWOOD, TN 370275098

    Phone: (615) 920-7878

    Fax: (615) 920-8775

    Type: Mailing

  • 120, Laurel Street, Elmwood, Columbia, Richland County, South Carolina, 29201, United States

    COLUMBIA, SC 292042034

    Phone: (803) 254-7889

    Fax: (803) 254-7893

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 37027)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in General Practice Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINESC82270Stool analysis for blood to screen for colon tumors166166
INTERNAL MEDICINESC83036Hemoglobin A1C level8166

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: 9638475627View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1720070840 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as General Practice Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Brentwood?
Unknown Individual currently maps to Brentwood, Tennessee in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

Medac Urgent Care

Emergency Medicine Physician
4402, Shipyard Boulevard, Wilmington, New Hanover County, North Carolina, 28403, United States
NPI: 1356345920

EVANSTON CLINIC CORP

Family Medicine Physician
8, Arrowhead Drive, Evanston, Uinta County, Wyoming, 82930, United States
NPI: 1013916519

MD NOW MEDICAL CENTERS INC

Urgent Care Clinic/Center
5216 N Federal Hwy
NPI: 1033195474

Convenient Care Clinic

Rural Health Clinic/Center
PO BOX 60545
NPI: 1912975533

MCKENZIE PHYSICIAN SERVICES LLC

General Practice Physician
1573 MALLORY LN STE 100
NPI: 1316909054

WILLAMETTE VALLEY CLINICS LLC

Family Medicine Physician
Willamette Valley Medical Center, 2700, Southeast Stratus Avenue, McMinnville, Yamhill County, Oregon, 97128, United States
NPI: 1790740520

PHILLIP KERRY PERKINS (MD)

General Practice Physician
312 S Main St
NPI: 1437108123
330 SEVEN SPRINGS WAY
NPI: 1720032105

SOVAH Physician Practices

Anesthesiology Physician
330 SEVEN SPRINGS WAY
NPI: 1629022868