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

Shadi Ayyoub

Individual provider Internal Medicine Physician · NPI 1477674232

Shadi Ayyoub is an Internal Medicine in St Augustine, Florida. Qualified in 1995, 31 years ago. Practices with Erlanger Health, a 503-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Florida and Tennessee.

Years since qualifying
31
Licensed in
AZ, FL, TN
In the registry since
2007
Specialties on file
3
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Practice location Address checks out

400 Health Park Blvd Ste 300
St Augustine, FL 32086-5784
Phone: (904) 819-4082
Fax: (904) 819-5156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 975 E 3rd St, Chattanooga, TN 37403-2103 — (423) 314-8234
  • 975 E 3rd St, Chattanooga, TN 37403-2103 — (423) 314-8234

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence ME119332 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 44249 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 37193 (AZ)

Record details

NPI number1477674232
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2007
Last updated in NPPESMarch 17, 2018
Mailing addressPo Box 3123, St Augustine, FL 32085-3123

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Erlanger Health — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in St Augustine