ALIA TAYARA
NPI 1124883707
Student in an Organized Health Care Education/Training Program in Jackson, MS

Q: What is Alia Tayara's NPI number?

The NPI number for Alia Tayara is 1124883707. It was assigned to this individual provider in the NPPES registry on February 14, 2024.

Q: What is Alia Tayara's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Alia Tayara was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 14, 2024PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-5012 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Alia Tayara NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALIA TAYARA (NPI 1124883707) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124883707

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALIA TAYARA

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State St, Attn School Of MedicineJackson, MS 39216 · (601) 984-5012

Phone(601) 984-5012

Sole ProprietorNo

Enumeration DateFebruary 14, 2024

NPPES CertifiedFebruary 14, 2024

✔ NPI 1124883707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2500 N STATE ST, Jackson, MS 39216

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alia Tayara is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)