Individual provider Active NPI

Susan Marina Yates, NP-C

  • Family Nurse Practitioner
  • Dalton, GA
National Provider Identifier
1053720441
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
105921 Issued in GA
Practice address
1525 Chattanooga Rd
Dalton, GA 30720-8379
Phone
(706) 529-7124
Fax
(706) 529-7126
NPI assigned
Aug 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 105921 GA Primary
Family Nurse Practitioner 363LF0000X 32978 TN

Addresses

Primary practice location

1525 Chattanooga Rd
Dalton, GA 30720-8379

Mailing address

1525 Chattanooga Rd
Dalton, GA 30720-8379
Phone (706) 529-7124

Other names 1

  • Susan Marina Beck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141007001337 GA Practitioner - Nurse Practitioner 1254551633 Reassigns benefits to 3 organizations
I20240717004696 TN Practitioner - Nurse Practitioner 1254551633 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
105921GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain Consultants CurrentSince Aug 1, 2023 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Nov 25, 2024 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Nov 25, 2024 Accepting new patients
Interventional Pain Consultants CurrentSince Aug 1, 2023 Accepting new patients
Applebaum Physiatry PLLC Family CurrentSince Sep 1, 2024 Accepting new patients
Hamilton Medical Center, Inc. Past Accepting new patients
Nursing Home Physician Group PLLC Past Accepting new patients
Dalton Cardiology, P.C. Past Accepting new patients

Locations

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167

1800 Phoenix Blvd
Ste 12812
Atlanta, GA 30349
Phone (678) 525-7787

1500 Dug Gap Rd
Dalton, GA 30720
Phone (423) 498-2000

1362 S Main St
Ellijay, GA 30540
Phone (706) 276-2417

618 Gennett Dr
Jasper, GA 30143
Phone (706) 692-5123

128 S East St
Unit 1109
Crown Point, IN 46308

2550 Business Park Dr NE
Cleveland, TN 37311
Phone (423) 339-8881

102 Dunhill Pl NW
Cleveland, TN 37311
Phone (423) 339-9581

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1053720441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 CHATTANOOGA RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208379",
            "telephone_number": "706-529-7124",
            "fax_number": "706-529-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 CHATTANOOGA RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208379",
            "telephone_number": "706-529-7124",
            "fax_number": "706-529-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "SUSAN",
        "middle_name": "MARINA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "105921",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BECK",
            "middle_name": "MARINA",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.