Active NPI
Edward Scott Yarbro, M.D.
- Urology Physician
- Jackson, TN
National Provider Identifier
1841273190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD0000018772
- Practice address
- 28 Medical Center Dr
Jackson, TN 38301-3947 - Phone
- (731) 427-9971
- Fax
- (731) 424-2052
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD0000018772 | TN | Primary |
Addresses
Primary practice location
28 Medical Center Dr
Jackson, TN 38301-3947
Mailing address
PO Box 1446
Dyersburg, TN 38025-1446
Phone (731) 427-9971
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3032886 | Medicaid | TN | |
| 3209625 | Other | TN | CIGNA |
| 04475891 | Other | TN | AETNA |
| 0078634 | Other | TN | BCBS OF TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000018772 | TN | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332806400000",
"number": "1841273190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1446",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "380251446",
"telephone_number": "731-427-9971",
"fax_number": "731-424-2052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 MEDICAL CENTER DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013947",
"telephone_number": "731-427-9971",
"fax_number": "731-424-2052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARBRO",
"first_name": "EDWARD",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2012-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "MD0000018772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3032886",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3209625",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "04475891",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "0078634",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.