Active NPI
Yosan Negga Vilfort, PA-C
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Forest Park, GA
National Provider Identifier
1255052320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 11160
- Practice address
- 541 Forest Pkwy Ste 14
Forest Park, GA 30297-6110 - Phone
- (678) 949-9448
- Fax
- (678) 922-2133
- NPI assigned
- Sep 7, 2022
- Last updated
- Jan 6, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 11160 | GA | |
| Surgical Physician Assistant | 363AS0400X | 11160 | GA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 11160 | GA | Primary |
Addresses
Primary practice location
541 Forest Pkwy Ste 14
Forest Park, GA 30297-6110
Mailing address
1720 Phoenix Blvd Ste 900
College Park, GA 30349-5597
Phone (404) 631-6156
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11160 | GA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chimed Rehab South Atlanta, LLC | Current | Accepting new patients |
Locations
541 Forest Pkwy
Ste 14
Forest Park, GA 30297
Phone (404) 366-5652
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Forest Park, GA
- NPI 1962081604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1255052320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 PHOENIX BLVD STE 900",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303495597",
"telephone_number": "404-631-6156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 FOREST PKWY STE 14",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "302976110",
"telephone_number": "678-949-9448",
"fax_number": "678-922-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILFORT",
"first_name": "YOSAN",
"middle_name": "NEGGA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-07",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "11160",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "11160",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "GA",
"license": "11160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.