Active NPI
Dr Bill Yates MD PC
- General Practice Physician
- Jasper, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 10923
- Legal business name
- DR BILL YATES MD PC
- Practice address
- 203 19TH St E
Jasper, AL 35501-5457 - Phone
- (205) 384-3481
- Fax
- (205) 384-1057
- NPI assigned
- Jul 10, 2007
- Last updated
- Aug 24, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bill Yates, M.D.
- Title
- Doctor
- Phone
- (205) 384-3481
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 10923 | AL | Primary |
Addresses
Primary practice location
203 19TH St E
Jasper, AL 35501-5457
Mailing address
203 19TH St E
Jasper, AL 35501-5457
Phone (205) 384-3481
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529302220 | Medicaid | AL | |
| 51085092 | Other | AL | BLUE CROSS & BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
31040 1st Ave NE
Ste 6B
Carbon Hill, AL 35549
Phone (205) 384-3481
203 19th St E
Jasper, AL 35501
Phone (205) 384-3481
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- Jasper, AL
- NPI 1508898198
-
- General Practice Physician
- Jasper, AL
- NPI 1043312101
-
- Certified Registered Nurse Anesthetist
- Birmingham, AL
- NPI 1386624385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282608000000",
"number": "1629276845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 19TH ST E",
"city": "JASPER",
"state": "AL",
"postal_code": "355015457",
"telephone_number": "205-384-3481",
"fax_number": "205-384-1057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 19TH ST E",
"city": "JASPER",
"state": "AL",
"postal_code": "355015457",
"telephone_number": "205-384-3481",
"fax_number": "205-384-1057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR BILL YATES MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-10",
"last_updated": "2010-08-24",
"status": "A",
"authorized_official_last_name": "YATES",
"authorized_official_first_name": "BILL",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "205-384-3481",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "10923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529302220",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "51085092",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.