Unknown Individual – Family Medicine Physician, NPI 1043283120

Unknown Individual is a healthcare provider. based in Jonesville, Virginia. specializing in Family Medicine Physician. They hold a License No. 0102831098 (VA). The NPI Number for Unknown Individual is 1043283120

Main info

Organization
Inactive
34 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1043283120
Phone
(276) 346-5310
Address
276 FIELDSTONE DR
Deactivation Date
2 December 2020

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
2765652760
Graduation Year
1992 (34 years ago)
PAC ID
3072560556
Group Practice PAC ID
0244124584
Professional Enrollment ID
I20050406000925
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 276 FIELDSTONE DR

    JONESVILLE, VA 242631215

    Phone: (276) 346-5310

    Fax: (276) 543-5469

    Type: Mailing

  • 306, South Shady Avenue, Damascus, Washington County, Virginia, 24236, United States

    DAMASCUS, VA 242360456

    Phone: (276) 475-5116

    Fax: (276) 546-9712

    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 24263)

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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 MEDICINEVA85610Blood test, clotting time3815

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: 0244124584View full group profile
NameSpecialtyState
DIA P OWENS (MD)
Family PracticeVA
WAYNE A VANZEE (MD)
Internal MedicineVA
MELISSA NICOLE KEENE (M.D.)
Pediatric MedicineVA
DR. PAULINA RIOS (MD)
Family PracticeVA
DR. PATRICK A MOLONY (M.D.)
-TN
ANGELIA MCCLANAHAN (LCSW)
Clinical Social WorkerVA
ABDUL-LATIEF ALMATARI (MD)
Internal MedicineVA
KATHERINE BURNER BARNETT (LCSW)
Clinical Social WorkerVA
JOSHUA A YEARY (DO)
Family PracticeVA
DR. MICHAEL ALAN ULRICH (DO)
Internal MedicineVA

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1043283120 in the public NPI dataset.
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 healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Jonesville, Virginia may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.