Individual provider Active NPI

Yaman Tayara, MD

  • Specialist
  • Cartersville, GA
National Provider Identifier
1063527067
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
045641 Issued in GA
Practice address
962 Joe Frank Harris Pkwy #106
Cartersville, GA 30120-0120
Phone
(770) 382-1926
Fax
(770) 387-0343
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 045641 GA Primary

Addresses

Primary practice location

962 Joe Frank Harris Pkwy #106
Cartersville, GA 30120-0120

Mailing address

962 Joe Frank Harris Pkwy #106
Cartersville, GA 30120-0120
Phone (770) 382-1926

Other identifiers 8

IdentifierTypeStateIssuer
1924620OtherGAAETNA MGD CHOICE
F82853OtherGASTATE HEALTH
006548OtherGABLUE CROSS BLUE SHIELD
7115242OtherGAAETNA HMO
10036428OtherGAAMERIGROUP
P00099422OtherGARR MEDICARE
2900337OtherGAUNITED HEALTH CARE
9330560OtherGACIGNA

Other names 1

  • Dr. Yaman Tayara Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040116000012 GA Practitioner - Gastroenterology 8729984430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

962 Joe Frank Harris Pkwy SE
Suite 106
Cartersville, GA 30120-2167
Phone 77038219261201

Hospital & facility affiliations

  • Piedmont Cartersville Medical Center Hospital, Cartersville, GA, CCN 110030
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Adventhealth Redmond Hospital, Rome, GA, CCN 110168

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy177
Upper gastrointestinal (GI) endoscopy for acid reflux317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
045641GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Gastrointestinal and Liver Disease Associates PC Specialist CurrentSince Jun 6, 2003 Accepting new patients

Locations

962 Joe Frank Harris Pkwy SE
Ste 106
Cartersville, GA 30120
Phone (404) 382-2900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063527067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 JOE FRANK HARRIS PKWY #106",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301200120",
            "telephone_number": "770-382-1926",
            "fax_number": "770-387-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 JOE FRANK HARRIS PKWY #106",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301200120",
            "telephone_number": "770-382-1926",
            "fax_number": "770-387-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYARA",
        "first_name": "YAMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "045641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MGD CHOICE",
            "identifier": "1924620",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE HEALTH",
            "identifier": "F82853",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "006548",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "7115242",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10036428",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00099422",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2900337",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9330560",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAMAN",
            "last_name": "TAYARA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.