Individual provider Active NPI

Neil Cameron Yeager, M.D.

  • Family Medicine Physician
  • Hartselle, AL
National Provider Identifier
1750503041
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28359 Issued in AL
Practice address
1635 Highway 31 NW Ste C
Hartselle, AL 35640-4426
Phone
(256) 773-0110
Fax
(256) 773-0121
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L-2810 AL
Family Medicine Physician 207Q00000X 28359 AL Primary

Addresses

Primary practice location

1635 Highway 31 NW Ste C
Hartselle, AL 35640-4426

Mailing address

1635 Highway 31 NW Ste C
Hartselle, AL 35640-4426
Phone (256) 773-0110

Other identifiers 8

IdentifierTypeStateIssuer
529928340OtherALMEDICAID PAYEE NUMBER
1750503041OtherUNITED HEALTH CARE
P00743306OtherALMEDICARE RR
102I089894OtherALMDCR ID
1750503041MedicaidAL
1598717381OtherALMEDICAID GROUP NPI
E869OtherALMEDICARE GROUP
112074MedicaidAL

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
I20071114000359 AL Practitioner - Family Practice 2961590617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

30694 US Hwy 72
Suite E
Madison, AL 35756-3231
Phone (256) 230-6130

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28359ALMDFamily Medicine Physician
L-2810ALMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: nyeager@cuclakesidenorth.gwaydirect.com

Organizations & group practices 1

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1750503041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 HIGHWAY 31 NW STE C",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356404426",
            "telephone_number": "256-773-0110",
            "fax_number": "256-773-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 HIGHWAY 31 NW STE C",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356404426",
            "telephone_number": "256-773-0110",
            "fax_number": "256-773-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "NEIL",
        "middle_name": "CAMERON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "L-2810",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "28359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PAYEE NUMBER",
            "identifier": "529928340",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1750503041",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00743306",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCR ID",
            "identifier": "102I089894",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750503041",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NPI",
            "identifier": "1598717381",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "E869",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112074",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartselle, AL

Sources for this page

Verify at the official NPI Registry.