Zubaidah Al Hayali
Individual provider Active NPI Physician Assistant · Memphis, TN
NPI 1245928142 · NPPES record last updated Jun 4, 2024
Key facts
- NPI
- 1245928142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5451 (TN)
- Practice address
- 262 Danny Thomas PL
Memphis, TN 38105-3678 - Phone
- (901) 595-3300
- NPI assigned
- Apr 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5451 | TN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Urgent Care, PLLC | Current |
Accepting new patients |
Locations
5905 Stage Rd
Bartlett, TN 38134
Phone (901) 779-8657
1204 N Houston Levee Rd
Ste 114
Cordova, TN 38018
Phone (901) 355-7197
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Surgical Physician Assistant | 363AS0400X | |||
| Physician Assistant | 363A00000X | 5451 | TN | Yes |
Addresses
Primary practice location
262 Danny Thomas PL
Memphis, TN 38105-3678
Mailing address
525 Cairn Drive Ext
Cordova, TN 38018-6791
Other practice location 1
5905 Stage Rd
Bartlett, TN 38134-4521
Phone (901) 779-8657
Other practice location 2
525 Cairn Drive Ext
Cordova, TN 38018-6791
Phone (901) 351-7718
Other practice location 3
1204 N Houston Levee Rd Ste 114
Cordova, TN 38018-6687
Phone (901) 421-5000
Other providers in Memphis, TN
- Raghad Akrouk
- Daria Aksionav
- Mohammad Ibrahim Al Alawneh
- Ayman Al Dayeh
- Angela Imad Al Harir
- Zebin Mohammad Al Zebin
- Faris Al-Gebory
- Maha Al-Khawaja
- Abdullah Al-Rashdan
- Basil Al-Sabeq
All providers in Memphis, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.