Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Fazal Yahya, MD

Individual provider Internal Medicine Physician · NPI 1801153705

Dr. Fazal Yahya, MD is an Internal Medicine in Southaven, Mississippi. Qualified in 2009, 17 years ago. Practices with Impact Physician Group, Tennessee LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Arkansas, Mississippi and Tennessee.

Years since qualifying
17
Licensed in
AR, MS, TN
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone: (662) 772-2980
Fax: (662) 772-2960
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 24049 (MS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 53158 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence E-13350 (AR)

Record details

NPI number1801153705
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2012
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Impact Physician Group, Tennessee Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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