James Richard Yates, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9644 Issued in AL

Practice address

1460 2ND Ave SW
Jacksonville, AL 36265-3358

Phone

(256) 435-2180

Fax

(256) 435-9525

NPI assigned

Sep 9, 2005

Reactivated

Apr 3, 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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• bcbs alabama network 01C0
• bcbs alabama network 01E0
• bcbs alabama network 01H0
• bcbs alabama network 01B0
• bcbs alabama network 01G0
• bcbs alabama network 01A0

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Comfort Care Hospice, LLC

  • Community Based Hospice Care Agency
  • Gadsden, AL
  • NPI 1528007044

  W-2 Managing Employee

  CMS ownership

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.

• Anniston Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Anniston, AL
  • NPI 1053387654
  NPD
• Jacksonville Health and Rehabilitation, LLC

  • Skilled Nursing Facility
  • Jacksonville, AL
  • NPI 1033166640
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1699769174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 2ND AVE SW",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653358",
            "telephone_number": "256-435-2180",
            "fax_number": "256-435-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 2ND AVE SW",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653358",
            "telephone_number": "256-435-2180",
            "fax_number": "256-435-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2007-07-26",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "9644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51519575",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Bruce Young DMD
• Asya Williams
• Jennifer Wilmes
• Ataska Winsett, LICSW
• Jennifer Ruth Woodard, CRNP
• William Bruce Young, D.M.D.

• Internal Medicine Physician in Jacksonville, AL
• Providers in Jacksonville, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.