Active NPI
Seth D Rayburn MD PC
- Surgery Physician
- Athens, AL
National Provider Identifier
1811048879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 23684
- Legal business name
- SETH D RAYBURN MD PC
- Practice address
- 707 W Market St Ste C
Athens, AL 35611-2463 - Phone
- (256) 216-6500
- Fax
- (256) 216-8777
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Seth D Rayburn, MD
- Title
- President
- Phone
- (256) 216-6500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 23684 | AL | Primary |
Addresses
Primary practice location
707 W Market St Ste C
Athens, AL 35611-2463
Mailing address
707 W Market St Ste C
Athens, AL 35611-2463
Phone (256) 216-6500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009932649 | Medicaid | AL | |
| 51001883 | Other | AL | BCBS OF ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
201 N Malone St
Athens, AL 35611
Phone (256) 216-6500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Athens, AL
- NPI 1720079940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742515200000",
"number": "1811048879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 W MARKET ST STE C",
"city": "ATHENS",
"state": "AL",
"postal_code": "356112463",
"telephone_number": "256-216-6500",
"fax_number": "256-216-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 W MARKET ST STE C",
"city": "ATHENS",
"state": "AL",
"postal_code": "356112463",
"telephone_number": "256-216-6500",
"fax_number": "256-216-8777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SETH D RAYBURN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A",
"authorized_official_last_name": "RAYBURN",
"authorized_official_first_name": "SETH",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "256-216-6500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "AL",
"license": "23684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009932649",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "51001883",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.