Individual provider Active NPI

Yolanda Malone-Gilbert, M.D.

  • Psychiatry Physician
  • McDonough, GA
National Provider Identifier
1013018720
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
050537 Issued in GA
Practice address
2340 Patrick Henry Pkwy
Ste 225
McDonough, GA 30253-4214
Phone
(770) 389-8100
Fax
(770) 389-3030
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 050537 GA Primary
Child & Adolescent Psychiatry Physician 2084P0804X 050537 GA

Addresses

Primary practice location

2340 Patrick Henry Pkwy
Ste 225
McDonough, GA 30253-4214

Mailing address

2340 Patrick Henry Pkwy
Ste 225
McDonough, GA 30253-4214
Phone (770) 389-8100

Other identifiers 1

IdentifierTypeStateIssuer
000933028AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
050537GAMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1013018720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 PATRICK HENRY PKWY",
            "address_2": "STE 225",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534214",
            "telephone_number": "770-389-8100",
            "fax_number": "770-389-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 PATRICK HENRY PKWY",
            "address_2": "STE 225",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534214",
            "telephone_number": "770-389-8100",
            "fax_number": "770-389-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE-GILBERT",
        "first_name": "YOLANDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "050537",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "050537",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000933028A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.