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

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