Individual provider Active NPI

Kyle Aaron Yawn, DC

  • Chiropractor
  • Perry, GA
National Provider Identifier
1346919438
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010615 Issued in GA
Practice address
1304 Macon Rd
Perry, GA 31069-2646
Phone
(478) 987-7555
Fax
(478) 988-4508
NPI assigned
Sep 10, 2021
Last updated
Sep 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010615 GA Primary

Addresses

Primary practice location

1304 Macon Rd
Perry, GA 31069-2646

Mailing address

346 Greentree Pkwy
Macon, GA 31220-3638
Phone (478) 747-0631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211112001973 GA Practitioner - Chiropractic 6800285818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patterson Chiropractic ClinicGroup PAC ID 9335135839, 3 clinicians

Practice addresses (Care Compare)

1304 Macon Rd
Perry, GA 31069-2646
Phone (478) 987-7555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patterson Chiropractic Clinic Chiropractor CurrentSince Nov 10, 2021 Accepting new patients

Locations

1304 Macon Rd
Perry, GA 31069
Phone (478) 987-7555

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.

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1346919438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 GREENTREE PKWY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312203638",
            "telephone_number": "478-747-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 MACON RD",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692646",
            "telephone_number": "478-987-7555",
            "fax_number": "478-988-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAWN",
        "first_name": "KYLE",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.