Unknown Individual – Emergency Medicine Physician, NPI 1003970922

Emergency Medicine Physician

Unknown Individual is a healthcare provider. based in Owens cross roads, Alabama. specializing in Emergency Medicine Physician. They hold a License No. 5456 (AL). The NPI Number for Unknown Individual is 1003970922

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1003970922

Phone

(256) 539-5187

Address

6611 LIZZIE LANE

Deactivation Date

1 January 2026

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

6611 LIZZIE LANE
PO BOX 369
OWENS CROSS ROADS, AL 357630369
Phone: (256) 539-5187
Fax: (256) 539-0720
Type: Mailing
2505 U S HIGHWAY 431 NORTH
BOAZ, AL 359570758
Phone: (256) 840-3477
Fax: (256) 840-3627
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 35763)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?

NPI numbers are unique to each provider or organization — Unknown Individual uses 1003970922.

Is Unknown Individual's NPI deactivated?

The extract indicates Unknown Individual is not in an active NPI state.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect Unknown Individual on a map?

Expect Owens Cross Roads, Alabama as a primary anchor for Unknown Individual unless the record lists multiple sites.

Is the information about Unknown Individual up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."