Unknown Individual – Pediatrics Physician, NPI 1699791376

Unknown Individual is a healthcare provider. based in Northport, Alabama. specializing in Pediatrics Physician. They hold a License No. 30754 (TN). The NPI Number for Unknown Individual is 1699791376

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1699791376
Phone
(205) 301-2837
Address
720 ENERGY CENTER BLVD STE 504
Deactivation Date
24 August 2021
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

Provider Addresses for Unknown Individual

  • 720 ENERGY CENTER BLVD STE 504

    NORTHPORT, AL 354732794

    Phone: (205) 301-2837

    Fax: (877) 794-2293

    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 35473)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1699791376?
NPI 1699791376 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Northport?
Unknown Individual currently maps to Northport, Alabama in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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