Active NPI
Thomas Lamar Yearwood, M.D., PHD
- Interventional Pain Medicine Physician
- Pascagoula, MS
National Provider Identifier
1427076595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 11988
- Practice address
- 4105 Hospital St
Suite 112a
Pascagoula, MS 39581-5312 - Phone
- (228) 938-0700
- Fax
- (228) 938-0705
- NPI assigned
- Jul 17, 2006
- Last updated
- Feb 20, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 15545 | AL | |
| Interventional Pain Medicine Physician | 208VP0014X | 11988 | MS | Primary |
Addresses
Primary practice location
4105 Hospital St
Suite 112a
Pascagoula, MS 39581-5312
Mailing address
61 White Ave
Fairhope, AL 36532-1317
Phone (228) 627-5192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-14252 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15545 | AL | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Consultants of Alabama, LLC | Interventional Pain Medicine | Past | Accepting new patients |
| Pain Consultants of Alabama | Past | Accepting new patients | |
| Gulf Coast Heart Institute | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Clinic/Center
- Pascagoula, MS
- NPI 1679096192
-
- Cardiovascular Disease Physician
- Pascagoula, MS
- NPI 1982011326
-
dba Comprehesive Pain and Rehabilitation
- Non-Pharmacy Dispensing Site
- Fairhope, AL
- NPI 1962973990
-
dba Comprehensive Pain a nd Rehabilitation
- Interventional Pain Medicine Physician
- Fairhope, AL
- NPI 1568132827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1427076595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 WHITE AVE",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365321317",
"telephone_number": "228-627-5192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 HOSPITAL ST",
"address_2": "SUITE 112A",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395815312",
"telephone_number": "228-938-0700",
"fax_number": "228-938-0705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEARWOOD",
"first_name": "THOMAS",
"middle_name": "LAMAR",
"name_prefix": "Dr.",
"credential": "M.D., PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "AL",
"license": "15545",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "MS",
"license": "11988",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
"identifier": "515-14252",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pascagoula, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.