Active NPI
Frederick Lee Yerby, M.D.
- Family Medicine Physician
- Fayette, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15356
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000084451 | Medicaid | AL | |
| 84451 | Other | AL | BLUE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Amedisys Home Health of Tuscaloosa
- Access Hospice
- Fayette Medical Center
- Fayette Medical Center Long Term Care Unit
- Fayette Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 29 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15356 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick L. Yerby, M.D., P.C. | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Fayette, AL
- NPI 1083751457
AL, Family Medicine
-
- Skilled Nursing Facility
- Fayette, AL
- NPI 1245226430
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Northport, AL
- NPI 1093773319
-
- Medicare Defined Swing Bed Hospital Unit
- Fayette, AL
- NPI 1265516462
Nursing home
-
- Home Health Agency
- Fayette, AL
- NPI 1821241613
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.