Individual provider Active NPI

Paige Alexandra Yeomans, PA-C

  • Physician Assistant
  • Hinesville, GA
National Provider Identifier
1265128375
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11563 Issued in GA
Practice address
462 Elma G Miles Pkwy
Hinesville, GA 31313-4000
Phone
(912) 369-9400
NPI assigned
Apr 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11563 GA Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

462 Elma G Miles Pkwy
Hinesville, GA 31313-4000

Mailing address

PO Box 1276
Thomasville, GA 31799-1276

Other practice location 1

1 Chemical Plant Rd
Riceboro, GA 31323-3253
Phone (912) 880-8059

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230526000110 GA Practitioner - Physician Assistant 7810353307 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Consolidated Emergency Services LLCGroup PAC ID 2860792066, 68 clinicians
Hospital Authority of Liberty CountyGroup PAC ID 5799772190, 15 clinicians

Practice addresses (Care Compare)

163 E Tollison St
Baxley, GA 31513-0120
Phone (912) 367-9841

455 S Main St
Hinesville, GA 31313-4354

462 E G Miles Pkwy
Hinesville, GA 31313-4000
Phone (912) 369-9400

462 Elma G Miles Pkwy
Suite 102a
Hinesville, GA 31313-4000
Phone (912) 369-9310

Hospital & facility affiliations

  • Clinch Memorial Hospital Hospital, Homerville, GA, CCN 111308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Consolidated Emergency Services, LLC CurrentSince Jan 12, 2026 Accepting new patients
Emanuel County Hospital Authority CurrentSince Jun 15, 2024 Accepting new patients
Emanuel County Hospital Authority CurrentSince Jun 15, 2024 Accepting new patients
Southland Emergency Medical Services Consolidated, LLC CurrentSince Jan 12, 2026 Accepting new patients
Hospital Authority of Liberty County CurrentSince Sep 17, 2023 Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC CurrentSince May 5, 2023 Accepting new patients
Hospital Authority of Liberty County CurrentSince Sep 17, 2023 Accepting new patients
Emanuel County Hospital Authority Past Accepting new patients

Locations

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

462 Elma G Miles Pkwy
Ste 102A
Hinesville, GA 31313
Phone (912) 369-9310

931 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-4221

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1265128375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1276",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317991276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 ELMA G MILES PKWY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134000",
            "telephone_number": "912-369-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Chemical Plant Rd",
            "address_purpose": "LOCATION",
            "city": "Riceboro",
            "state": "GA",
            "postal_code": "313233253",
            "country_code": "US",
            "telephone_number": "912-880-8059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEOMANS",
        "first_name": "PAIGE",
        "middle_name": "ALEXANDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11563",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.