Yaira Maldonado

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NCO-000001 Issued in GA

Practice address

4328 Armour Rd
Columbus, GA 31904-5204

Phone

(706) 507-1213

Fax

(706) 507-1217

NPI assigned

Oct 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yaira.maldonado.1@28559.direct.athenahealth.com

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

• KMC Family Care PC

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1306545975
  Medicare reassignment NPD
• KMC Urgent Care PC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1568161131
  Medicare reassignment NPD
• Rural Urgent Care LLC

  • Urgent Care Clinic/Center
  • Centre, AL
  • NPI 1932586476

  GA

  Medicare reassignment NPD
• Rivertown Medical Clinic

  dba Urgent Care and Occupational Medicine

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1962516120
  NPD
• Rural Urgent Care LLC

  dba MainStreet Family Care

  • Rural Health Clinic/Center
  • Eufaula, AL
  • NPI 1588450316
  NPD
• Rivertown Medical Clinic

  dba Armour Road Urgent Care

  • Urgent Care Clinic/Center
  • Columbus, GA
  • NPI 1932226693
  NPD (past)

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1023616661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 LEE ROAD 207",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368708240",
            "telephone_number": "423-227-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 ARMOUR RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045204",
            "telephone_number": "706-507-1213",
            "fax_number": "706-507-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "YAIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NCO-000001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Paul Malaney
• Jessica Maldonado
• Jonathan Maldonado, RBT
• Leopoldo Maldonado, MD
• Thomas William Maldonado
• Denis Yevgenyevich Malkov, DO, MD
• Ivy J Mallisham, PSY.D.
• Jelicka M Mallory
• Madison R Malmquist, PA-C
• Pamela Suzanne Malo, PTA

• Family Nurse Practitioner in Columbus, GA
• Providers in Columbus, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.