Individual provider Active NPI

Prince Michael Aryeetey, M.D

  • Nephrology Physician
  • Chattanooga, TN
National Provider Identifier
1083024038
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
56466 Issued in TN
Practice address
251 N Lyerly St
Ste 100
Chattanooga, TN 37404-2743
Phone
(423) 826-8000
Fax
(423) 702-7917
NPI assigned
Apr 30, 2014
Last updated
Dec 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 56466 TN Primary
Hospitalist Physician 208M00000X 56466 TN

Addresses

Primary practice location

251 N Lyerly St
Ste 100
Chattanooga, TN 37404-2743

Mailing address

251 N Lyerly St
Ste 100
Chattanooga, TN 37404-2743
Phone (423) 826-8000

Other practice location 1

1005 Dr Db Todd Jr Blvd
Nashville, TN 37208-3501
Phone (615) 327-6611

Other practice location 2

300 Steam Plant Rd Ste 300
Gallatin, TN 37066-3089
Phone (615) 989-4311

Other identifiers 1

IdentifierTypeStateIssuer
Q032504MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20180612001343 TN Practitioner - Internal Medicine 9436404654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yium, Shenouda and Miller PtrshpGroup PAC ID 3274510037, 49 clinicians

Practice addresses (Care Compare)

251 N Lyerly St
Suite 100
Chattanooga, TN 37404-2743
Phone (423) 826-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.73 of 100Reported as group
Quality
81.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yium, Shenouda & Miller Ptrshp CurrentSince Sep 1, 2020 Accepting new patients

Locations

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

251 N Lyerly St
Ste 100
Chattanooga, TN 37404
Phone (423) 826-8000

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

5483 Little Debbie Pkwy
Ooltewah, TN 37363
Phone (423) 486-9514

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1083024038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N LYERLY ST",
            "address_2": "STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042743",
            "telephone_number": "423-826-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N LYERLY ST",
            "address_2": "STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042743",
            "telephone_number": "423-826-8000",
            "fax_number": "423-702-7917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Dr Db Todd Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372083501",
            "country_code": "US",
            "telephone_number": "615-327-6611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Steam Plant Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370663089",
            "country_code": "US",
            "telephone_number": "615-989-4311",
            "fax_number": "615-989-4661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARYEETEY",
        "first_name": "PRINCE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "56466",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "56466",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q032504",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.