Eyob Tessema, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25331 Issued in AL

Practice address

557 Glover Ave
Suite 1
Enterprise, AL 36330-2024

Phone

(334) 347-7705

Fax

(334) 347-7715

NPI assigned

Jul 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

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

Specialty

Psychiatry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tri-County Psychiatric Services, LLC

  • Psychiatry Physician
  • Enterprise, AL
  • NPI 1467706879
  Medicare reassignment NPD Authorized official
• Houston County Healthcare Authority

  • Internal Medicine Physician
  • Enterprise, AL
  • NPI 1619026606
  Medicare reassignment NPD
• Houston County Healthcare Authority

  • Internal Medicine Physician
  • Dothan, AL
  • NPI 1538597349

  Psychiatry

  NPD
• Houston County Healthcare Authority

  • Internal Medicine Physician
  • Dothan, AL
  • NPI 1659566651
  NPD
• David C Ghostley PSYD Inc

  • Clinical Psychologist
  • Dothan, AL
  • NPI 1225079114
  NPD (past)
• Meghani Medical, PC

  • Neurology Physician
  • Dothan, AL
  • NPI 1215005616
  NPD (past)
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1639195076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 GLOVER AVE",
            "address_2": "SUITE 1",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302024",
            "telephone_number": "334-347-7705",
            "fax_number": "334-347-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 GLOVER AVE",
            "address_2": "SUITE 1",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302024",
            "telephone_number": "334-347-7705",
            "fax_number": "334-347-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSEMA",
        "first_name": "EYOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "25331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TROY - BCBS",
            "identifier": "051534180",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPS - BCBS",
            "identifier": "051000552",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009979065",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932531",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009937154",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009979865",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSC - BCBS",
            "identifier": "051000551",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EBHS - BCBS",
            "identifier": "051530196",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abbie Lauryn Sullivan
• Courtney Paige Summerhill
• Summit Health & Rehab Services Inc
• Gabrielle Taylor, RBT
• Aleah Terrell
• The Health Care Authority of the City of Enterprise, Inc.
• The Path to Recovery With Helping Hands
• The Summit Health & Rehab Services, Inc
• The Wealth Lounge
• Ashlyn Thomas, LPTA

• Psychiatry Physician in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.

Verify at the official NPI Registry.