Glenn A Yates, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

8474 Issued in AL

Practice address

1722 Pine St
Suite 309
Montgomery, AL 36106-1103

Phone

(334) 262-0342

Fax

(334) 262-0390

NPI assigned

Nov 2, 2005

Last updated

Nov 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Internal Medicine

Education

University of South Alabama College of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Care Internists of Montgomery, P.C.Group PAC ID 9335131572, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gentiva Birmingham Hospice, Birmingham, AL, CCN 011675

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Primary Care Internists of Montgomery, P.C.

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1306837976
  Medicare reassignment Care Compare group NPD
• Jackson Hospital and Clinic, Inc.

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1073264107

  Internal Medicine

  Medicare reassignment NPD
• Jackson Hospital & Clinic, Inc.

  dba Jackson Pelvic Floor Therapy

  • Physical Therapist
  • Montgomery, AL
  • NPI 1265325823
  NPD
• Jackson Hospital and Clinic Inc.

  dba Jackson Physician Readings

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1154646966
  NPD

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

• Wiregrass Hospice, LLC

  dba Gentiva

  • Community Based Hospice Care Agency
  • Birmingham, AL
  • NPI 1184897092
  Care Compare affiliation

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1124019781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 PINE ST",
            "address_2": "SUITE 309",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061103",
            "telephone_number": "334-262-0342",
            "fax_number": "334-262-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 PINE ST",
            "address_2": "SUITE 309",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061103",
            "telephone_number": "334-262-0342",
            "fax_number": "334-262-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "GLENN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "8474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8474",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip R Yacko, CRNA
• Josiah M Matthew Yance, FNP-C
• Lurong Yang, MD
• Maisee N Yang, RDMS,RVT
• Leonard Wayne Yarbrough
• Ruquayyah Yazeed, APRN
• Amy Catherine Ogburn Yeager, PH.D., CCC-SLP
• Sarah Lawson Yelverton, DPT
• Diem Hoang Yeung, M.D.
• Brandy Stroup Young, DNP, APRN, FNP-C

• Internal Medicine Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.