Organization Active NPI

Seth D Rayburn MD PC

  • Surgery Physician
  • Athens, AL
National Provider Identifier
1811048879
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
23684 Issued in AL
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

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Dr. Seth D Rayburn, MDNPI 1720079940
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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
009932649MedicaidAL
51001883OtherALBCBS OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050816000426 AL Part B Supplier - Clinic/Group Practice 8325078710 Receives reassigned benefits from 1 practitioner
Practice locations: Athens, AL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.