Justin Leonadus Yancey, D.O.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

3793 Issued in TN

Practice address

7640 Wolf River Cir FL 2
Germantown, TN 38138-1744

Phone

(901) 755-0208

Fax

(901) 757-0208

NPI assigned

Jul 2, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, TN, AR5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 5

Specialty

Nephrology

Education

Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-South Nephrology Consultants PLLC 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• RCG Southaven Dialysis facility, Southaven, MS, CCN 252552
• FMC South Airways Dialysis facility, Memphis, TN, CCN 442735
• RCG Tunica Dialysis facility, Tunica, MS, CCN 252567
• FMC Tipton County Dialysis facility, Covington, TN, CCN 442603
• Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
• Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
• Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
• Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131
• Highland Hills Medical Center Hospital, Senatobia, MS, CCN 250172
• Baptist Hospital Desoto Inpatient rehabilitation facility, Southaven, MS, CCN 25T141

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles (7 of 12)

Locations

Networks

• MS PPO
• MS PPO D-SNP
• KY PPO C-SNP
• MS PPO C-SNP
• KY PPO

Interoperability endpoints

• Direct secure messaging: jyancey28112@mlh.direct-ci.com
• Direct secure messaging: jyancey130562@direct.bmhcc.org
• Direct secure messaging: jyancey51281@direct.acumenmd.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mid-South Nephrology Consultants PLLC

  • Nephrology Physician
  • Memphis, TN
  • NPI 1346219342

  AR, MS, Nephrology, TN

  Medicare reassignment Care Compare group NPD
• Magnolia Hospitalist Group

  • Hospitalist Physician
  • Corinth, MS
  • NPI 1457547838

  MS

  Medicare reassignment NPD
• Magnolia Regional Health Center

  • General Acute Care Hospital
  • Corinth, MS
  • NPI 1699756445

  MS

  Medicare reassignment NPD
• Magnolia Regional Health Center

  • Internal Medicine Physician
  • Corinth, MS
  • NPI 1093546566

  Internal Medicine

  NPD
• Magnolia Regional Health Center

  • Certified Registered Nurse Anesthetist
  • Corinth, MS
  • NPI 1245410398
  NPD
• Magnolia Regional Health Center

  • Pulmonary Disease Physician
  • Corinth, MS
  • NPI 1689906117
  NPD
• Magnolia Regional Health Center

  • Emergency Medicine Physician
  • Corinth, MS
  • NPI 1922266857
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bio-Medical Applications of Tennessee, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Covington, TN
  • NPI 1114949005

  Dialysis facility

  Care Compare affiliation Name & address match
• Fresenius Medical Care South Airways, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1407237456

  Dialysis facility

  Care Compare affiliation Name & address match
• RCG Southaven, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Southaven, MS
  • NPI 1710099544

  Dialysis facility

  Care Compare affiliation Name & address match
• Baptist Memorial Hospital

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1578527172

  Hospital

  Care Compare affiliation
• Baptist Memorial Hospital-Tipton

  • General Acute Care Hospital
  • Covington, TN
  • NPI 1316901937

  Hospital

  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  • Children's Hospital
  • Memphis, TN
  • NPI 1386709871

  Hospital

  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1558365890

  Hospital

  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  • Children's Hospital
  • Germantown, TN
  • NPI 1649654450

  Hospital

  Care Compare affiliation
• Baptist Memorial Hospital-Desoto, Inc,

  • General Acute Care Hospital
  • Southaven, MS
  • NPI 1194789818

  Hospital

  Care Compare affiliation
• Baptist Memorial Hospital-Desoto, Inc.

  • Rehabilitation Hospital Unit
  • Southaven, MS
  • NPI 1972560654

  Inpatient rehabilitation facility

  Care Compare affiliation
• Tate County Hospital

  • General Acute Care Hospital
  • Senatobia, MS
  • NPI 1619676251

  Hospital

  Care Compare affiliation
• Tate County Hospital

  • Family Medicine Physician
  • Sarah, MS
  • NPI 1669349502

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1013390467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 WOLF RIVER CIR FL 2",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381744",
            "telephone_number": "901-755-0208",
            "fax_number": "901-757-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 WOLF RIVER CIR FL 2",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381744",
            "telephone_number": "901-755-0208",
            "fax_number": "901-757-0208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Alcorn Dr",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "MS",
            "postal_code": "388349321",
            "country_code": "US",
            "telephone_number": "901-634-9189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANCEY",
        "first_name": "JUSTIN",
        "middle_name": "LEONADUS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-02",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "26588",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "3793",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "T-3032",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "3793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip E Wright II, M.D.
• Tony L Wright, MD
• Gary A Wruble, M.D.
• Lawrence D Wruble, M.D.
• Huiwen Bill Xie, MD
• David Yanishevski
• Carley Yarbro, FNP-BC
• Robert Yarbrough, MD
• Jennifer Yarman, FNP
• Jane Chin Wynn Yeoh, M.D.

• All providers in Germantown, TN
• Nephrology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.