Active NPI
Christina Marie Yadao, M.D.
- Pediatrics Physician
- Lithonia, GA
National Provider Identifier
1356323273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 063553
- Practice address
- 5440 Hillandale Drive
Kaiser Permanente Panola Medical Office
Lithonia, GA 30058 - Phone
- (770) 322-2712
- NPI assigned
- Nov 16, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2003012665 | MO | |
| Pediatrics Physician | 208000000X | 063553 | GA | Primary |
Addresses
Primary practice location
5440 Hillandale Drive
Kaiser Permanente Panola Medical Office
Lithonia, GA 30058
Mailing address
3495 Piedmont Road, NE
Nine Piedmont Center
Atlanta, GA 30305
Phone (404) 364-7070
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1201961 | Other | MS | UHC |
| 431383893YAD | Other | MO | MERCY |
| 663444 | Other | MO | HEALTHLINK |
| 7446562 | Other | MO | AETNA |
| 190566 | Other | MO | BCBS |
| 50312V3431 | Other | MO | HEALTHCARE USA |
| 216125 | Other | MO | GHP |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063553 | GA | MD | Pediatrics Physician |
| 2003012665 | MO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270598400000",
"number": "1356323273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 PIEDMONT ROAD, NE",
"address_2": "NINE PIEDMONT CENTER",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30305",
"telephone_number": "404-364-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5440 HILLANDALE DRIVE",
"address_2": "KAISER PERMANENTE PANOLA MEDICAL OFFICE",
"city": "LITHONIA",
"state": "GA",
"postal_code": "30058",
"telephone_number": "770-322-2712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YADAO",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2010-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2003012665",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "063553",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "1201961",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY",
"identifier": "431383893YAD",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "663444",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7446562",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "190566",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE USA",
"identifier": "50312V3431",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "216125",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.