Unknown Individual – Gynecology Physician, NPI 1083671317

Unknown Individual is a healthcare provider. based in Dothan, Alabama. specializing in Gynecology Physician. They hold a License No. 00001761 (AL). The NPI Number for Unknown Individual is 1083671317

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083671317
Phone
(334) 793-6511
Address
4300 WEST MAIN ST
Deactivation Date
20 June 2022
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

  • 4300, West Main Street, Dothan, Houston County, Alabama, 36305, United States

    STE 31

    DOTHAN, AL 363054300

    Phone: (334) 793-6511

    Fax: (334) 793-4697

    Mailing address matches the actual address.

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 36305)

Loading plans...

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

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1083671317.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Dothan, Alabama?
If you are local to Dothan, Alabama, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

DR. KIRBY LAMAR HART (M.D.)

Gynecology Physician
2431, West Main Street, Lamont Court, Dothan, Houston County, Alabama, 36301, United States
NPI: 1295711760

ROBERT M HAGLER (MD)

Gynecology Physician
4300, West Main Street, Brannon Stand Heights, Brannon Stand, Dothan, Houston County, Alabama, 36305, United States
NPI: 1255398582

BEN R III MARTIN (MD)

Gynecology Physician
4300, West Main Street, Brannon Stand Heights, Brannon Stand, Dothan, Houston County, Alabama, 36305, United States
NPI: 1164489498

HERBERT H JR. GANNON (MD)

Gynecology Physician
4300, West Main Street, Brannon Stand Heights, Brannon Stand, Dothan, Houston County, Alabama, 36305, United States
NPI: 1356309942

K. LAMAR HART JR MD

Gynecology Physician
108, Medical Drive, Dothan, Houston County, Alabama, 36303, United States
NPI: 1558453688
1118, Ross Clark Circle, Morris Heights, Dothan, Houston County, Alabama, 36301, United States
NPI: 1235469669