Active NPI
Zubaidah Al Hayali
- Physician Assistant
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5451
- Practice address
- 262 Danny Thomas PL
Memphis, TN 38105-3678 - Phone
- (901) 595-3300
- NPI assigned
- Apr 27, 2023
- Last updated
- Jun 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Surgical Physician Assistant | 363AS0400X | |||
| Physician Assistant | 363A00000X | 5451 | TN | Primary |
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
525 Cairn Drive Ext
Cordova, TN 38018-6791
Phone (901) 351-7718
Other practice location 2
5905 Stage Rd
Bartlett, TN 38134-4521
Phone (901) 779-8657
Other practice location 3
1204 N Houston Levee Rd Ste 114
Cordova, TN 38018-6687
Phone (901) 421-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1245928142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 CAIRN DRIVE EXT",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 DANNY THOMAS PL",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381053678",
"telephone_number": "901-595-3300"
}
],
"practiceLocations": [
{
"address_1": "525 Cairn Drive Ext",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "380186791",
"country_code": "US",
"telephone_number": "901-351-7718",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5905 Stage Rd",
"address_purpose": "LOCATION",
"city": "Bartlett",
"state": "TN",
"postal_code": "381344521",
"country_code": "US",
"telephone_number": "901-779-8657",
"fax_number": "901-791-4208",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1204 N Houston Levee Rd Ste 114",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "380186687",
"country_code": "US",
"telephone_number": "901-421-5000",
"fax_number": "901-572-1241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL HAYALI",
"first_name": "ZUBAIDAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-27",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "5451",
"primary": true
}
],
"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 Jun 4, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.