Individual provider Active NPI

Nadia Yousuf Tayeb, M.D.

  • Forensic Psychiatry Physician
  • Athens, OH
National Provider Identifier
1952747198
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
W2373 Issued in TX
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828004071 GA Practitioner - Psychiatry 3274821046 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.147694OHMDForensic Psychiatry Physician
89665SCMDForensic Psychiatry Physician
L.4057RALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McIntosh Trail Community Service Board CurrentSince Jul 1, 2019 Accepting new patients
McIntosh Trail Community Service Board CurrentSince Jul 1, 2019 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.

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

Verify at the official NPI Registry.