Unknown Individual – Pediatrics Physician, NPI 1558402008

Unknown Individual is a healthcare provider. based in Opelika, Alabama. specializing in Pediatrics Physician. They hold a License No. 9672 (AL). The NPI Number for Unknown Individual is 1558402008

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1558402008
Phone
(334) 749-8121
Address
2401 VILLAGE PROFESSIONAL DRIVE
Deactivation Date
5 July 2024
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

  • 2401 VILLAGE PROFESSIONAL DRIVE

    OPELIKA, AL 368014702

    Phone: (334) 749-8121

    Fax: (334) 749-6166

    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

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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 36801)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1558402008; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Opelika, Alabama for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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