Active NPI
Nour Mohammad Yadak, M.D
- Anatomic Pathology & Clinical Pathology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 57458
- Practice address
- 1265 Union Ave
Memphis, TN 38104-3415 - Phone
- (901) 516-7182
- Fax
- (901) 276-5474
- NPI assigned
- Jul 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 57458 | TN | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 26462 | MS |
Addresses
Primary practice location
1265 Union Ave
Memphis, TN 38104-3415
Mailing address
PO Box 603283
Charlotte, NC 28260-3283
Phone (866) 789-4893
Other practice location 1
51 Germantown Ct Ste 309
Cordova, TN 38018-4290
Phone (901) 333-0510
Other practice location 2
7900 Airways Blvd Ste 100
Southaven, MS 38671-4113
Phone (662) 349-6950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-7100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57458 | TN | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Medical Group Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Shelby County Health Care Corporation | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Shelby County Health Care Corporation | Current | Accepting new patients | |
| Ut Medical Group, Inc. | Current | Accepting new patients |
Locations
4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000
1265 Union Ave
#6
Memphis, TN 38104
Phone (901) 726-2305
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650
877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893
Interoperability endpoints
- nour.yadak.p3@direct.uthsc.nextgenshare.com
Organizations & group practices 4
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Memphis, TN
- NPI 1780685750
-
- Multi-Specialty Clinic/Center
- Memphis, TN
- NPI 1780676650
Anatomic Pathology & Clinical Pathology
-
- Clinic Pharmacy
- Memphis, TN
- NPI 1629542493
-
- Ophthalmology Physician
- Memphis, TN
- NPI 1326919200
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1144213117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1215292594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603283",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603283",
"telephone_number": "866-789-4893",
"fax_number": "678-459-0526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 UNION AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043415",
"telephone_number": "901-516-7182",
"fax_number": "901-276-5474"
}
],
"practiceLocations": [
{
"address_1": "51 Germantown Ct Ste 309",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "380184290",
"country_code": "US",
"telephone_number": "901-333-0510",
"fax_number": "901-747-2380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7900 Airways Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386714113",
"country_code": "US",
"telephone_number": "662-349-6950",
"fax_number": "662-349-6634",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YADAK",
"first_name": "NOUR",
"middle_name": "MOHAMMAD",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-11",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "57458",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MS",
"license": "26462",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.