Active NPI
Nadia Yousuf Tayeb, M.D.
- Forensic Psychiatry Physician
- Athens, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- W2373
- Practice address
- 400 E State St Ste D
Athens, OH 45701-1870 - Phone
- (740) 249-4514
- Fax
- (800) 480-7578
- NPI assigned
- May 15, 2013
- Last updated
- Aug 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Forensic Psychiatry Physician | 2084F0202X | 35.147694 | OH | |
| Forensic Psychiatry Physician | 2084F0202X | W2373 | TX | Primary |
| Forensic Psychiatry Physician | 2084F0202X | 89665 | SC | |
| Psychiatry Physician | 2084P0800X | L.4057R | AL |
Addresses
Primary practice location
400 E State St Ste D
Athens, OH 45701-1870
Mailing address
925B Peachtree St NE Unit 2029
Atlanta, GA 30309-3918
Phone (407) 690-4762
Other practice location 1
10602 Blossom River Dr
Missouri City, TX 77459-5491
Phone (000) 000-0000
Other practice location 2
925B Peachtree St NE Unit 2029
Atlanta, GA 30309-3918
Phone (407) 690-4762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.147694 | OH | MD | Forensic Psychiatry Physician |
| 89665 | SC | MD | Forensic Psychiatry Physician |
| L.4057R | AL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McIntosh Trail Community Service Board | Current | Accepting new patients | |
| McIntosh Trail Community Service Board | Current | Accepting new patients |
Locations
1209 Greenbelt Dr
Griffin, GA 30224
Phone (770) 358-8250
1435 N Expressway
Ste 301
Griffin, GA 30223
Phone (678) 516-5179
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Griffin, GA
- NPI 1336317270
-
- Community/Behavioral Health Agency
- Griffin, GA
- NPI 1386708212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1952747198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925B PEACHTREE ST NE UNIT 2029",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093918",
"telephone_number": "407-690-4762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E STATE ST STE D",
"city": "ATHENS",
"state": "OH",
"postal_code": "457011870",
"telephone_number": "740-249-4514",
"fax_number": "800-480-7578"
}
],
"practiceLocations": [
{
"address_1": "10602 Blossom River Dr",
"address_purpose": "LOCATION",
"city": "Missouri City",
"state": "TX",
"postal_code": "774595491",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "925B Peachtree St NE Unit 2029",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303093918",
"country_code": "US",
"telephone_number": "407-690-4762",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYEB",
"first_name": "NADIA",
"middle_name": "YOUSUF",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-15",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "OH",
"license": "35.147694",
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "TX",
"license": "W2373",
"primary": true
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "SC",
"license": "89665",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "L.4057R",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.