Unknown Individual – Neurology Physician, NPI 1821083155

Unknown Individual is a healthcare provider. based in Dothan, Alabama. specializing in Neurology Physician. They hold a License No. 8395 (AL). The NPI Number for Unknown Individual is 1821083155

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1821083155
Phone
(334) 793-9564
Address
4300 W MAIN ST
Deactivation Date
7 April 2021
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

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

    SUITE 102

    DOTHAN, AL 363051054

    Phone: (334) 793-9564

    Fax: (334) 671-8907

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-05-10 • Largest payer in this snapshot: ABBVIE INC. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$23
View all Open Payments →|Open Payments Risk Radar →

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)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1821083155.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Neurology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Dothan, Alabama because that is what the record indicates for Unknown Individual.
What if Dothan, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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