Jin Yang, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

49599 Issued in GA

Practice address

330 Alcovy St
Monroe, GA 30655-2140

Phone

(770) 267-8461

NPI assigned

Jun 16, 2006

Last updated

Oct 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Georgia Hospitalists Group, LLC

  • Hospitalist Physician
  • Riverdale, GA
  • NPI 1033576376
  Medicare reassignment NPD
• Acs Primary Care Physicians - Southeast PC

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1861430555

  GA

  Medicare reassignment NPD
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915

  GA

  Medicare reassignment NPD
• Georgia Hospitalists Group, LLC

  • Hospitalist Physician
  • Cedartown, GA
  • NPI 1477099588
  NPD
• Chestatee Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Dahlonega, GA
  • NPI 1366474777
  NPD (past)
• Hartwell Emergency Services, LLC

  • Nurse Practitioner
  • Hartwell, GA
  • NPI 1245272954

  Emergency Medicine

  NPD (past)
• Inphynet Primary Care Physicians Southeast PC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1770521460
  NPD (past)
• Southeastern Hospitalist Physicians, LLP

  • Emergency Medicine Physician
  • Eastman, GA
  • NPI 1265853469
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1346284361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ALCOVY ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552140",
            "telephone_number": "770-267-8461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Griffin Ave",
            "address_purpose": "LOCATION",
            "city": "Eastman",
            "state": "GA",
            "postal_code": "310236784",
            "country_code": "US",
            "telephone_number": "478-448-4000",
            "fax_number": "478-374-0244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 Lions Club Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "GA",
            "postal_code": "306504762",
            "country_code": "US",
            "telephone_number": "706-342-1667",
            "fax_number": "706-342-2345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "898 College St",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "GA",
            "postal_code": "310641258",
            "country_code": "US",
            "telephone_number": "706-468-6411",
            "fax_number": "706-468-8289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5995 Spring St",
            "address_purpose": "LOCATION",
            "city": "Warm Springs",
            "state": "GA",
            "postal_code": "318302149",
            "country_code": "US",
            "telephone_number": "706-655-3331",
            "fax_number": "706-655-9211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "JIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "049599",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "49599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000906903C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Gibson Wisehart, MSW
• Women's Health Associates of Walton, PC
• Women's Imaging Specialists - Monroe, LLC
• Wood Vision LLC (Wood Vision Center)
• Iris Wright, RN
• Lusi Yang, D.C.
• Andrea Soyeon Yoon
• Ywait Transportation LLC

• Internal Medicine Physician in Monroe, GA
• Providers in Monroe, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.