Individual provider Active NPI

Frederick Lee Yerby, M.D.

  • Family Medicine Physician
  • Fayette, AL
National Provider Identifier
1528028982
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15356 Issued in AL
Practice address
1716 Temple Ave N
Suite 6
Fayette, AL 35555-1309
Phone
(205) 932-7750
Fax
(205) 932-6293
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 15356 AL Primary

Addresses

Primary practice location

1716 Temple Ave N
Suite 6
Fayette, AL 35555-1309

Mailing address

1716 Temple Ave N
Suite 6
Fayette, AL 35555-1309
Phone (205) 932-7750

Other identifiers 2

IdentifierTypeStateIssuer
000084451MedicaidAL
84451OtherALBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100817001387 AL Practitioner - Family Practice 6901879386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1716 Temple Ave N
Suite 6
Fayette, AL 35555-1309
Phone (205) 932-7750

Hospital & facility affiliations

  • Fayette Medical Center Homecare Home health agency, Fayette, AL, CCN 017088
  • Amedisys Home Health of Tuscaloosa Home health agency, Northport, AL, CCN 017300
  • Access Hospice Hospice, Jasper, AL, CCN 011662
  • Fayette Medical Center Hospital, Fayette, AL, CCN 010045
  • Fayette Medical Center Long Term Care Unit Nursing home, Fayette, AL, CCN 015154
  • Fayette Medical Center Nursing home, CCN 01U045

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions29
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15356ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick L. Yerby, M.D., P.C. Family Medicine CurrentSince Jul 28, 1990 Accepting new patients
Fayette Medical Center Past Accepting new patients

Locations

1716 Temple Ave N
Ste 6
Fayette, AL 35555
Phone (205) 932-7750

1716 Temple Ave N
#6888888888888888888888888888888
Fayette, AL 35555

Organizations & group practices 2

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528028982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 TEMPLE AVE N",
            "address_2": "SUITE 6",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355551309",
            "telephone_number": "205-932-7750",
            "fax_number": "205-932-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 TEMPLE AVE N",
            "address_2": "SUITE 6",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355551309",
            "telephone_number": "205-932-7750",
            "fax_number": "205-932-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERBY",
        "first_name": "FREDERICK",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "15356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000084451",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "84451",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayette, AL

Sources for this page

Verify at the official NPI Registry.