Unknown Individual – Sports Medicine (Family Medicine) Physician, NPI 1417929902

Unknown Individual is a healthcare provider. based in Pensacola, Florida. specializing in Sports Medicine (Family Medicine) Physician. They hold a License No. ME116512 (FL). The NPI Number for Unknown Individual is 1417929902

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417929902
Phone
(850) 857-4040
Address
1190 E NINE MILE RD
Deactivation Date
31 July 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • West Florida Medical Group, 1190, East Nine Mile Road, Ferry Pass, Pensacola, Escambia County, Florida, 32514, United States

    PENSACOLA, FL 325141651

    Phone: (850) 857-4040

    Fax: (850) 479-9180

    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 7 Open Payments records for all available years, with a total value of $127.

Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.

Last reported payment date: 2023-08-01 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($52).

Total Amount

$127

General + Research + Ownership

Payments

7

Total payment records

General Amount

$127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-01

Latest reported date

Top Companies

Largest payers in this snapshot

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 32514)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1417929902.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Pensacola, Florida may find Unknown Individual in results; validate coverage separately.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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