Active NPI
Yolanda J Gaines, APC
- Counselor
- East Point, GA
National Provider Identifier
1285641431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- APC000965
- Practice address
- 1636 Connally Dr
East Point, GA 30344-2558 - Phone
- (404) 762-4042
- Fax
- (404) 762-3114
- NPI assigned
- Aug 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | APC000965 | GA | Primary |
Addresses
Primary practice location
1636 Connally Dr
East Point, GA 30344-2558
Mailing address
860 Monroe Dr NE
Apt #6
Atlanta, GA 30308-1777
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
| License | State | Type | Specialty |
|---|---|---|---|
| APC000965 | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285641431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 MONROE DR NE",
"address_2": "APT #6",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303081777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1636 CONNALLY DR",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303442558",
"telephone_number": "404-762-4042",
"fax_number": "404-762-3114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "YOLANDA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "APC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "APC000965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Point, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.