Mavis Nyarko Yeboah, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN181677 Issued in GA

Practice address

699 Church St NE
Marietta, GA 30060-1110

Phone

(770) 819-9211

Fax

(770) 819-9161

NPI assigned

Feb 10, 2015

Last updated

Jul 14, 2022By the provider in NPPES

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

Electronic endpoints 1

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Obstetrix Medical Group of Atlanta, LLC

  • Maternal & Fetal Medicine Physician
  • Atlanta, GA
  • NPI 1396970109
  Medicare reassignment NPD
• Pediatrix Medical Group of Georgia, P.C.

  dba Atlanta Maternal-Fetal Medicine an affiliate of Obstetrix Medical Grou

  • Maternal & Fetal Medicine Physician
  • Sunrise, FL
  • NPI 1972695260
  NPD (past)

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1063803260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 CHURCH ST NE STE 320",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601122",
            "telephone_number": "770-819-9211",
            "fax_number": "770-819-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 CHURCH ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601110",
            "telephone_number": "770-819-9211",
            "fax_number": "770-819-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEBOAH",
        "first_name": "MAVIS",
        "middle_name": "NYARKO",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN181677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mavis.yeboah@pediatrix.com",
            "affiliation": "Y",
            "affiliationName": "Mednax",
            "address_1": "699 Church Street, NE",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashkan Yazdanpanah, DO
• Jessica Yeager, MS CCC-SLP
• Jessica Paige Yeager
• Jessie Yearta, LPC
• Yebo Therapy LLC
• Khamariah Patrice Yelder-Anderson
• Seth A Yellin, MD
• Patty B Yelton, CNM
• Casey F Yerkey, PAAA
• Kim D Yerovsek, PT

• Women's Health Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Women's Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.