Individual provider Active NPI

Yonette Harry

  • Home Health Agency
  • Douglasville, GA
National Provider Identifier
1174475867
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PHCP044572 Issued in GA
Practice address
2022 Highway 92 Fairburn Rd Ste D
Douglasville, GA 30135-1062
Phone
(770) 615-2275
Fax
(770) 615-2276
NPI assigned
Feb 13, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PHCP044572 GA Primary

Addresses

Primary practice location

2022 Highway 92 Fairburn Rd Ste D
Douglasville, GA 30135-1062

Mailing address

2022 Highway 92 Fairburn Rd Ste D
Douglasville, GA 30135-1062
Phone (770) 615-2275

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

State licenses

LicenseStateTypeSpecialty
PHCP044572GAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
The Entrance LLC Home Health Current Accepting new patients

Locations

2022 Highway 92 Fairburn Rd
Ste D
Douglasville, GA 30135
Phone (770) 615-2275

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.

NPI Registry JSON

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

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1174475867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 HIGHWAY 92 FAIRBURN RD STE D",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351062",
            "telephone_number": "770-615-2275",
            "fax_number": "770-615-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 HIGHWAY 92 FAIRBURN RD STE D",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351062",
            "telephone_number": "770-615-2275",
            "fax_number": "770-615-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRY",
        "first_name": "YONETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "PHCP044572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.