NPIMap

Individual provider Active NPI

Paul Yager, MD

  • Student in an Organized Health Care Education/Training Program
  • Birmingham, AL
National Provider Identifier
1790305282
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
833 Princeton Ave SW
Birmingham, AL 35211-1323
Phone
(205) 783-7663
NPI assigned
Apr 24, 2020
Last updated
Apr 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

833 Princeton Ave SW
Birmingham, AL 35211-1323

Mailing address

833 Princeton Ave SW
Birmingham, AL 35211-1323
Phone (205) 783-7663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250514001238 AL Practitioner - Diagnostic Radiology 8921526963 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians
Wetumpka Urgent Care LLCGroup PAC ID 6800053133, 50 clinicians
Chilton Family Care, LLCGroup PAC ID 7517189855, 14 clinicians
Ivy Creek of Elmore LLCGroup PAC ID 8426075508, 99 clinicians

Practice addresses (Care Compare)

Birmingham, AL 35212
Phone (888) 264-0330

11 Cambridge CT
Wetumpka, AL 36093-1261
Phone (334) 567-8633

1210 7TH St S
Clanton, AL 35045-3724
Phone (334) 514-3820

500 Hospital Dr
Wetumpka, AL 36092-1625
Phone (334) 514-3848

500 Hospital Dr B
Wetumpka, AL 36092-1625
Phone (334) 567-4311

PO Box
Suite 130
Wetumpka, AL 36092

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Express CurrentSince Mar 2, 2025 Accepting new patients
Wetumpka Urgent Care LLC CurrentSince Mar 2, 2025 Accepting new patients
Enterprise Urgent Care CurrentSince Dec 31, 2025 Accepting new patients
Chilton Family Care, LLC CurrentSince Mar 2, 2025 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Mar 2, 2025 Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients
Concord Radiology PLLC CurrentSince Jul 14, 2025 Accepting new patients
Ivy Creek Family Care of Lake Martin CurrentSince Mar 2, 2025 Accepting new patients
Coaxion PLLC CurrentSince Dec 28, 2025 Accepting new patients
Ivycreek of Elmore LLC Past Accepting new patients

Locations

1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620

4412 Hogan Rd
Deatsville, AL 36022
Phone (334) 514-4851

1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000

6582 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-2027

4081 Highway 14
Millbrook, AL 36054
Phone (334) 285-3222

41 Cambridge Ct
Wetumpka, AL 36093
Phone (334) 567-3309

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

525 Hospital Dr
Wetumpka, AL 36092
Phone (334) 567-5626

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1790305282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111323",
            "telephone_number": "205-783-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111323",
            "telephone_number": "205-783-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGER",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.