Active NPI
Jason T Yustein, M.D., PH.D.
- Pediatric Hematology & Oncology Physician
- Atlanta, GA
National Provider Identifier
1184770380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 93594
- Practice address
- 2220 N Druid Hills Rd NE
Atlanta, GA 30329-3117 - Phone
- (713) 471-1673
- NPI assigned
- Jan 28, 2007
- Last updated
- Oct 28, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 93594 | GA | Primary |
Addresses
Primary practice location
2220 N Druid Hills Rd NE
Atlanta, GA 30329-3117
Mailing address
539 Hargrove LN
Decatur, GA 30030-2379
Phone (713) 471-1673
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)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93594 | GA | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choa Hospital Based, LLC | Past | Accepting new patients | |
| Arthur M. Blank Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Children's Hospital
- Atlanta, GA
- NPI 1689744450
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1457695488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1184770380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 HARGROVE LN",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302379",
"telephone_number": "713-471-1673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 N DRUID HILLS RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303293117",
"telephone_number": "713-471-1673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUSTEIN",
"first_name": "JASON",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "GA",
"license": "93594",
"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 Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.