Individual provider Active NPI

Anupama D Yedla, MD

  • Psychiatry Physician
  • Huntsville, AL
National Provider Identifier
1609838762
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
24315 Issued in AL
Practice address
301 Governors Dr SE
Huntsville, AL 35801-2747
Phone
(256) 536-5511
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 24315 AL Primary

Addresses

Primary practice location

301 Governors Dr SE
Huntsville, AL 35801-2747

Mailing address

301 Governors Dr SE
Huntsville, AL 35801-2747
Phone (256) 536-5511

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
I20061009000195 AL Practitioner - Psychiatry 5799781134 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstone, Inc.Group PAC ID 9739070046, 18 clinicians

Practice addresses (Care Compare)

4040 Memorial Pkwy SW
Huntsville, AL 35802-4364
Phone (256) 533-1970

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24315ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstone, Inc. Psychiatry CurrentSince Sep 10, 2003 Accepting new patients
HH Physicians Network CurrentSince Jul 1, 2020 Accepting new patients
The Valley Foundation CurrentSince Sep 1, 2003 Accepting new patients
Tennessee Valley Pain Consultants, PC Past Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

10000 Serenity Ln SE
Huntsville, AL 35803
Phone (256) 650-1212

4040 Memorial Pkwy SW
Huntsville, AL 35802
Phone (256) 533-1970

301 Governors Dr SW
Huntsville, AL 35801
Phone (256) 536-5511

1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951

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 1

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1609838762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GOVERNORS DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358012747",
            "telephone_number": "256-536-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GOVERNORS DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358012747",
            "telephone_number": "256-536-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEDLA",
        "first_name": "ANUPAMA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "24315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.