Active NPI
Mercy Gaozong Yang
- Behavior Analyst
- Atlanta, GA
National Provider Identifier
1104408756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-73739
- Practice address
- 730 Peachtree St NE Ste 570
Atlanta, GA 30308-1244 - Phone
- (877) 733-7033
- NPI assigned
- Apr 23, 2021
- Last updated
- Jan 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-24-73739 | GA | Primary |
Addresses
Primary practice location
730 Peachtree St NE Ste 570
Atlanta, GA 30308-1244
Mailing address
730 Peachtree St NE Ste 570
Atlanta, GA 30308-1244
Phone (877) 733-7033
Other practice location 1
136 Auburn Valley Way
Auburn, GA 30011-5003
Phone (317) 800-4625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1104408756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 PEACHTREE ST NE STE 570",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303081244",
"telephone_number": "877-733-7033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 PEACHTREE ST NE STE 570",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303081244",
"telephone_number": "877-733-7033"
}
],
"practiceLocations": [
{
"address_1": "136 Auburn Valley Way",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "GA",
"postal_code": "300115003",
"country_code": "US",
"telephone_number": "317-800-4625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANG",
"first_name": "MERCY",
"middle_name": "GAOZONG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-23",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-24-73739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.