Edward Booth Yellig, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

21619 Issued in NC

Practice address

1300 Saint Marys St
Fouth Floor
Raleigh, NC 27605-1276

Phone

(919) 828-0890

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Raleigh Adult Medicine PA

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1902840762
  NPD (past)
• Raleigh Medical Group, PA

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1104962315
  NPD (past)
• Rex Hospital, Inc.

  • Nutrition Education Nutritionist
  • Raleigh, NC
  • NPI 1821472572
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1801909395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SAINT MARYS ST",
            "address_2": "FOUTH FLOOR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051276",
            "telephone_number": "919-828-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SAINT MARYS ST",
            "address_2": "FOUTH FLOOR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051276",
            "telephone_number": "919-828-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELLIG",
        "first_name": "EDWARD",
        "middle_name": "BOOTH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "21619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "21619",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Yeakey, M.D.
• Alexander Yeh, PHARMD
• Tracy Loggins Yehle, RPH
• Hannah Elizabeth Yelanich
• Marc David Yelle, MD PHD
• Barbara C Yelverton, PH.D.
• Herb A Yelverton, PH.D.
• Tikia Yelverton, DNP
• Vickie Smith Yelverton, MSA, MSW, LCSWA
• Yelverton'S Enrichment Services, Inc.

• Internal Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.