Unknown Individual – Gynecology Physician, NPI 1245211861

Unknown Individual is a healthcare provider. based in Phenix city, Alabama. specializing in Gynecology Physician. They hold a License No. 00003673 (AL). The NPI Number for Unknown Individual is 1245211861

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1245211861
Phone
(334) 298-0671
Address
1906 20TH AVE
Deactivation Date
6 October 2023
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

  • 1906, 20th Avenue, Phenix City, Russell County, Alabama, 36867, United States

    PHENIX CITY, AL 368673720

    Phone: (334) 298-0671

    Fax: (334) 298-0111

    Mailing address matches the actual address.

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.

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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 36867)

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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 1245211861.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where in Alabama is Unknown Individual registered?
Use Phenix City, Alabama as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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