DR. JONATHAN EDWARD YODER (M.D.) – Family Medicine Physician, NPI 1508839556

DR. JONATHAN EDWARD YODER (M.D.) is a healthcare provider. based in Atmore, Alabama. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 11637 (AL). The NPI Number for DR. JONATHAN EDWARD YODER (M.D.) is 1508839556

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONATHAN EDWARD YODER (M.D.)
NPI
1508839556
Phone
(251) 368-7974
Address
402 MEDICAL PARK DR
Enumeration Date
9 February 2006
Last Update Date
22 December 2009

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2513687974
Graduation Year
1983 (43 years ago)
PAC ID
2264344324
Group Practice PAC ID
4385616119
Professional Enrollment ID
I20070611000351
Address ID
AL365023004AT402XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,754 FAMILY PRACTICE in AL

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Provider Addresses for DR. JONATHAN EDWARD YODER (M.D.)

  • 402, Medical Park Drive, Southern Estates, Atmore, Escambia County, Alabama, 36502, United States

    ATMORE, AL 365023004

    Phone: (251) 368-7974

    Fax: (251) 368-5973

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-06-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070611000351IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making1818$0
99284Emergency department visit with moderate level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 36502)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385616119View full group profile
NameSpecialtyState
Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerAL
-NY
Nurse PractitionerAL
Family PracticeFL
Nurse PractitionerAL
Nurse PractitionerAL
Family PracticeAL
General Surgery, Gynecological Oncology, Surgical OncologyAL

Reviews

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Frequently asked questions

Is there an official ID for DR. JONATHAN EDWARD YODER (M.D.) in U.S. healthcare records?
The official identifier for DR. JONATHAN EDWARD YODER (M.D.) is NPI 1508839556.
Is DR. JONATHAN EDWARD YODER (M.D.) shown as active in public data?
Registry records indicate DR. JONATHAN EDWARD YODER (M.D.) maintains an active NPI.
How would a patient describe DR. JONATHAN EDWARD YODER (M.D.)'s focus?
For DR. JONATHAN EDWARD YODER (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JONATHAN EDWARD YODER (M.D.)?
Travel planning: use Atmore, Alabama as the reference point for DR. JONATHAN EDWARD YODER (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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