Unknown Individual – Pain Medicine Physician, NPI 1679865695
Pain Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Phone: (321) 255-6670
Type: Location
307 Boatner Rd Ste 114
Eglin AFB, FL 32542
Phone: (321) 255-6670
Type: Location
6439 GARNERS FERRY RD
COLUMBIA, SC 292091638
Phone: (803) 776-4000
Type: Location
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 $96.
Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.
Last reported payment date: 2024-09-13 • Largest payer in this snapshot: SPR Therapeutics, Inc ($96).
Total Amount
$96
General + Research + Ownership
Payments
1
Total payment records
General Amount
$96
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SPR Therapeutics, Inc | $96 |
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 32542)
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Reviews
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