Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1326016957

Unknown Individual is a healthcare provider. based in Wytheville, Virginia. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. 0101240305 (VA). The NPI Number for Unknown Individual is 1326016957

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1326016957
Phone
(276) 228-0264
Address
600 W Ridge Rd
Deactivation Date
29 March 2023

Doctor Profile

Medical School Name
JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Secondary Phone
8552452256
Graduation Year
1982 (44 years ago)
PAC ID
0244211712
Group Practice PAC ID
9436218617
Professional Enrollment ID
I20180503000089
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

Provider Addresses for Unknown Individual

  • 600 W Ridge Rd

    Wytheville, VA 243821044

    Phone: (276) 228-0264

    Type: Location

  • The Box, Borgo Pinti, Quartiere 1, Florence, Metropolitan City of Florence, Tuscany, 50122, Italy

    FLORENCE, SC 295010559

    Phone: (843) 664-4300

    Fax: (843) 664-4308

    Type: Mailing

  • Wythe County Community Hospital, 600, West Ridge Road, Wytheville, Wythe County, Virginia, 24382, United States

    WYTHEVILLE, VA 243821044

    Phone: (276) 228-0264

    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.

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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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88312Special stained specimen slides to identify organisms including interpretation and report3016$0
88305Pathology examination of tissue using a microscope, intermediate complexity1716$0
View full utilization report →

Insurance plans in this area (ZIP 24382)

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Provider's Procedures

Unknown Individual performs procedures in Anatomic Pathology & Clinical Pathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYVA88304Pathology examination of tissue using a microscope, moderately low complexity127123
PATHOLOGYVA88307Pathology examination of tissue using a microscope, moderately high complexity4940
PATHOLOGYVA88312Special stained specimen slides to identify organisms including interpretation and report282223

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: 9436218617View full group profile
NameSpecialtyState
Pathology, DermatologyGA
P A T H O L O G YGA
P A T H O L O G YGA
P A T H O L O G YFL
P A T H O L O G YFL
P A T H O L O G YTN
Pathology, DermatologyWV

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1326016957.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Anatomic Pathology & Clinical Pathology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Wytheville, Virginia?
If you are local to Wytheville, Virginia, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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