Yvette Monique Ash, F.N.P

Individual provider Active NPI Family Nurse Practitioner · Morrow, GA

NPI 1053676536 · NPPES record last updated Nov 25, 2019

Key facts

NPI
1053676536
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN276955 (GA)
Practice address
6053 Jonesboro Rd
Morrow, GA 30260-1106
Phone
(707) 824-4343
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLC (328 clinicians)

Practice addresses (Care Compare)

2005 Mount Zion Rd
Morrow, GA 30260-3313
Phone (770) 919-5250

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100 (apm)
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220610002154 GA Practitioner - Nurse Practitioner 3072760073 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
RN9234608FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC Current
since Nov 27, 2023
Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

2005 Mount Zion Rd
Morrow, GA 30260
Phone (770) 919-5250

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN9234608 FL
Family Nurse Practitioner 363LF0000X 337130 NY
Family Nurse Practitioner 363LF0000X RN276955 GA Yes

Addresses

Primary practice location

6053 Jonesboro Rd
Morrow, GA 30260-1106

Mailing address

1313 Benteen Park Dr SE
Atlanta, GA 30315-4441
Phone (407) 221-6830

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 25, 2019.

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1053676536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 BENTEEN PARK DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303154441",
            "telephone_number": "407-221-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6053 JONESBORO RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601106",
            "telephone_number": "707-824-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASH",
        "first_name": "YVETTE",
        "middle_name": "MONIQUE",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9234608",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337130",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN276955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

All providers in Morrow, GA · Family Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.