Individual provider Active NPI

Teresa Fay Yzenski, CNM

  • Advanced Practice Midwife
  • Cordele, GA
National Provider Identifier
1104182237
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN-CNM102774 Issued in GA
Practice address
412 E 4TH Ave
Cordele, GA 31015
Phone
(229) 273-1243
Fax
(229) 273-1247
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN-CNM102774 GA Primary

Addresses

Primary practice location

412 E 4TH Ave
Cordele, GA 31015

Mailing address

412 E 4TH Ave
Cordele, GA 31015
Phone (229) 273-1243

Other identifiers 1

IdentifierTypeStateIssuer
003122631EMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN-CNM102774GAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Feb 10, 2016 Accepting new patients
Women'S Healthcare of Middle Ga, Inc CurrentSince Oct 15, 2001 Accepting new patients
Careconnect Health, Inc. CurrentSince Feb 10, 2016 Accepting new patients
Careconnect Health, Inc. Past Accepting new patients
Crisp Regional Hospital Inc Past Accepting new patients
Guardian Medical Services, LLC Past Accepting new patients

Locations

412 E 4th Ave
Cordele, GA 31015
Phone (229) 273-1243

259 Broad St
Hawkinsville, GA 31036
Phone (478) 300-7107

222 Perry Hwy
Ste 206
Hawkinsville, GA 31036
Phone (478) 783-9340

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

1025 N Houston Rd
Warner Robins, GA 31093
Phone (478) 238-5513

130 Byrd Way
Warner Robins, GA 31088
Phone (478) 922-9136

Organizations & group practices 6

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1104182237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E 4TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "31015",
            "telephone_number": "229-273-1243",
            "fax_number": "229-273-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E 4TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "31015",
            "telephone_number": "229-273-1243",
            "fax_number": "229-273-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YZENSKI",
        "first_name": "TERESA",
        "middle_name": "FAY",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "APRN-CNM102774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003122631E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordele, GA

Sources for this page

Verify at the official NPI Registry.