Unknown Individual – Urology Physician, NPI 1972501617

Unknown Individual is a healthcare provider. based in Dothan, Alabama. specializing in Urology Physician. They hold a License No. 00011311 (AL). The NPI Number for Unknown Individual is 1972501617

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1972501617
Phone
(334) 794-4159
Address
1118 ROSS CLARK CIR
Deactivation Date
1 January 2026
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

  • Ross Clark Circle, Morris Heights, Dothan, Houston County, Alabama, 36301, United States

    500

    DOTHAN, AL 363013001

    Phone: (334) 794-4159

    Fax: (334) 792-7019

    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 36301)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1972501617 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Urology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Alabama?
You will see Dothan, Alabama on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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Unknown Individual

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