Unknown Individual – Emergency Medicine Physician, NPI 1891741435

Unknown Individual is a healthcare provider. based in Hartsville, Tennessee. specializing in Emergency Medicine Physician. They hold a License No. 19188 (TN). The NPI Number for Unknown Individual is 1891741435

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1891741435
Phone
(615) 374-2221
Address
500 CHURCH ST
Deactivation Date
21 July 2022

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
6153285067
Graduation Year
1988 (38 years ago)
PAC ID
0941194096
Group Practice PAC ID
6709171127
Professional Enrollment ID
I20040210001092
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Trousdale Medical Center, 500, Church Street, Hartsville, Trousdale County, Middle Tennessee, Tennessee, 37074, United States

    HARTSVILLE, TN 370741744

    Phone: (615) 374-2221

    Type: Location

  • 4840, Redcastle Ridge, Nashville, Davidson County, Middle Tennessee, Tennessee, 37211, United States

    NASHVILLE, TN 372118502

    Phone: (615) 268-7040

    Type: Mailing

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 37074)

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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: 6709171127View full group profile
NameSpecialtyState
-NC
-TN

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1891741435.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Hartsville?
Unknown Individual currently maps to Hartsville, Tennessee in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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