Unknown Individual – Family Medicine Physician, NPI 1255334041

Unknown Individual is a healthcare provider. based in Monroeville, Alabama. specializing in Family Medicine Physician. They hold a License No. 00008866 (AL). The NPI Number for Unknown Individual is 1255334041

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1255334041
Phone
(251) 575-4825
Address
1772 S ALABAMA AVE
Deactivation Date
9 May 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

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Provider Addresses for Unknown Individual

  • Alabama Avenue, Monroeville, Monroe County, Alabama, 36460, United States

    MONROEVILLE, AL 364603062

    Phone: (251) 575-4825

    Fax: (251) 575-7730

    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.

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 36460)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1255334041 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Monroeville?
Unknown Individual currently maps to Monroeville, Alabama in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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