Individual provider Active NPI

Wakili Salihu Yarima, MD

  • Emergency Medicine Physician
  • Augusta, GA
National Provider Identifier
1760434757
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N7191 Issued in TX
Practice address
1120 15TH Street Af 2036, Emergency Medicine Department
Medical College of Georgia
Augusta, GA 30912
Phone
(706) 721-3046
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 002348 GA
Physician Assistant 363A00000X 004610 GA
Physician Assistant 363A00000X PA 01359 TX
Physician Assistant 363A00000X 004050-1 NY
Emergency Medicine Physician 207P00000X N7191 TX Primary

Addresses

Primary practice location

1120 15TH Street Af 2036, Emergency Medicine Department
Medical College of Georgia
Augusta, GA 30912

Mailing address

3095 Parrish Rd
Suite a
Augusta, GA 30907-0386
Phone (706) 945-0729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100924000368 TX Practitioner - Emergency Medicine 0648241810 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002348GAMDEmergency Medicine Physician
004610GAMDPhysician Assistant
004050-1NYMDPhysician Assistant
PA 01359TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services PA Emergency Medicine Past Accepting new patients
ZSH Healthcare Associates, PLLC Past Accepting new patients
Greater Texas Emergency Consultants, P.a. Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services, PA Physician Assistant Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1760434757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 PARRISH RD",
            "address_2": "SUITE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070386",
            "telephone_number": "706-945-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH STREET AF 2036, EMERGENCY MEDICINE DEPARTMENT",
            "address_2": "MEDICAL COLLEGE OF GEORGIA",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30912",
            "telephone_number": "706-721-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARIMA",
        "first_name": "WAKILI",
        "middle_name": "SALIHU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "002348",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004610",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA 01359",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004050-1",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N7191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.