Individual provider Active NPI

Thomas David Yates, MD

  • Internal Medicine Physician
  • Toccoa, GA
National Provider Identifier
1225012446
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26417 Issued in GA
Practice address
58 Big a Rd
Toccoa, GA 30577-6017
Phone
(706) 886-6819
Fax
(706) 282-5368
NPI assigned
Dec 1, 2005
Last updated
Oct 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26417 GA Primary

Addresses

Primary practice location

58 Big a Rd
Toccoa, GA 30577-6017

Mailing address

58 Big a Rd
Toccoa, GA 30577-6017
Phone (706) 886-6819

Other identifiers 2

IdentifierTypeStateIssuer
000001834AMedicaidGA
000286965MedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tyates29523@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517000712 GA Practitioner - Internal Medicine 4284624628 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

58 Big a Rd
Toccoa, GA 30577-6017
Phone (706) 886-3148

597 S Enota Dr NE
Gainesville, GA 30501-2545
Phone (770) 219-7777

PO Box
Suite 1060
Oakwood, GA 30566-0018

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26417GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens County Hospital Authority CurrentSince Feb 15, 2003 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Apr 30, 2017 Accepting new patients
Toccoa Clinic Medical Associates, LLP CurrentSince Oct 30, 2012 Accepting new patients
Stephens County Hospital Authority CurrentSince Feb 15, 2003 Accepting new patients
Northeast Georgia Physicians Group Inc Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients

Locations

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

200 S Enota Dr NE
Ste 200
Gainesville, GA 30501
Phone (770) 534-0991

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

12192 Augusta Rd
Lavonia, GA 30553
Phone (706) 356-1072

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-1072

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

163 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200

58 Big a Rd
Toccoa, GA 30577
Phone (706) 886-3148

Interoperability endpoints

  • Direct secure messaging: tyates29523@nghs.gadirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1225012446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BIG A RD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776017",
            "telephone_number": "706-886-6819",
            "fax_number": "706-282-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 BIG A RD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776017",
            "telephone_number": "706-886-6819",
            "fax_number": "706-282-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "THOMAS",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "26417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000001834A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000286965",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tyates29523@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "58 Big A Rd",
            "city": "Toccoa",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305776017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toccoa, GA

Sources for this page

Verify at the official NPI Registry.