Individual provider Active NPI

Paul S Yim, M. D.

  • Family Medicine Physician
  • White House, TN
National Provider Identifier
1487644522
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD27718 Issued in TN
Practice address
128 Raymond Hirsch Pkwy
Suite 3
White House, TN 37188-8103
Phone
(615) 672-3027
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD27718 TN Primary

Addresses

Primary practice location

128 Raymond Hirsch Pkwy
Suite 3
White House, TN 37188-8103

Mailing address

P.O. Box 568
White House, TN 37188
Phone (615) 672-3027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000352 TN Practitioner - Family Practice 2264526375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

128 Raymond Hirsch Pkwy
White House, TN 37188-8193
Phone (615) 672-3027

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
27.38 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
71.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD27718TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Medical, Inc. Family Medicine CurrentSince Mar 14, 2001 Accepting new patients
Portland Primary Care LLC PastSince Aug 7, 2018 Accepting new patients
Hendersonville Hospital Corporation PastSince Mar 14, 2001 Accepting new patients
Portland Primary Care, LLC Family Medicine Past Accepting new patients

Locations

128 Raymond Hirsch Pkwy
Ste 3
White House, TN 37188
Phone (615) 672-3027

128 Raymond Hirsch Pkwy
White House, TN 37188
Phone (615) 672-3027

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1487644522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 568",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "37188",
            "telephone_number": "615-672-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 RAYMOND HIRSCH PKWY",
            "address_2": "SUITE 3",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "371888103",
            "telephone_number": "615-672-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIM",
        "first_name": "PAUL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD27718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White House, TN

Sources for this page

Verify at the official NPI Registry.