Individual provider Active NPI

Yahya Subayti, MD

  • Emergency Medicine Physician
  • Huntingdon, TN
National Provider Identifier
1245386945
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
17358 Issued in TN
Practice address
631 R.B. Wilson Dr.
Huntingdon, TN 38344-1727
Phone
(731) 267-0011
Fax
(731) 664-6590
NPI assigned
Jan 26, 2007
Last updated
May 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 17358 TN Primary

Addresses

Primary practice location

631 R.B. Wilson Dr.
Huntingdon, TN 38344-1727

Mailing address

PO Box 532893
Atlanta, GA 30353-2893
Phone (904) 805-1300

Other identifiers 1

IdentifierTypeStateIssuer
3840625MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17358TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jellico Emergency Physicians Medical Group PC Emergency Medicine Past Accepting new patients
Somerville Emergency Services, LLC Emergency Medicine Past Accepting new patients
Exigence Arkansas Tennessee LLC Past Accepting new patients
Mt. Pelia Emergency Physicians Emergency Medicine Past Accepting new patients
Hub City Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1245386945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532893",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303532893",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 R.B. WILSON DR.",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383441727",
            "telephone_number": "731-267-0011",
            "fax_number": "731-664-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBAYTI",
        "first_name": "YAHYA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "17358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3840625",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.