Organization Active NPI

Teamhealth

  • Family Medicine Physician
  • Alexandria, LA
National Provider Identifier
1578091682
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60676012 Issued in WA
Legal business name
TEAMHEALTH
Practice address
211 4TH St
Alexandria, LA 71301-8421
Phone
(318) 769-5002
NPI assigned
Jun 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Cary Randall Bybee, MDNPI 1265852586
Title
Emergency Medicine Physician
Phone
(404) 226-8839

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X MD60676012 WA Primary

Addresses

Primary practice location

211 4TH St
Alexandria, LA 71301-8421

Mailing address

428 Ansley Blvd Apt E
Alexandria, LA 71303-2286
Phone (404) 226-8839

Other identifiers 1

IdentifierTypeStateIssuer
1265852586MedicaidLA

Other names 2

  • emergency medicine physician Doing business as
  • teamhealth Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1578091682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 ANSLEY BLVD APT E",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032286",
            "telephone_number": "404-226-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-769-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAMHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BYBEE",
        "authorized_official_first_name": "CARY",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "EMERGENCY MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "404-226-8839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60676012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265852586",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "emergency medicine physician",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "emergency medicine physician",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "teamhealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.