Individual provider Active NPI

Lauren West Yancey, M.D.

  • Ophthalmology Physician
  • Carrollton, GA
National Provider Identifier
1386872950
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
69463 Issued in GA
Practice address
158 Clinic Avenue
Carrollton, GA 30117-4414
Phone
(770) 834-1008
NPI assigned
Jun 23, 2009
Last updated
Jun 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 003601 GA
Ophthalmology Physician 207W00000X 69463 GA Primary

Addresses

Primary practice location

158 Clinic Avenue
Carrollton, GA 30117-4414

Mailing address

158 Clinic Avenue
Carrollton, GA 30117-4414
Phone (770) 834-1008

Other identifiers 1

IdentifierTypeStateIssuer
003132816AMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130620000192 GA Practitioner - Ophthalmology 3173762309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Vision InstituteGroup PAC ID 4880962091, 8 clinicians

Practice addresses (Care Compare)

158 Clinic Ave
Suite a
Carrollton, GA 30117-4414
Phone (770) 834-1008

Merit-based Incentive Payment System (MIPS)

Final score
98.81 of 100Reported as group
Quality
97.63
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
003601GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Vision Institute CurrentSince Apr 24, 2017 Accepting new patients
Georgia Vision Institute Ophthalmology CurrentSince Apr 24, 2017 Accepting new patients

Locations

300 Alabama Ave S
Bremen, GA 30110
Phone (678) 821-1880

158 Clinic Ave
Carrollton, GA 30117
Phone (770) 834-1008

158 Clinic Ave
#B
Carrollton, GA 30117
Phone (770) 834-1001

158 Clinic Ave
Ste A
Carrollton, GA 30117
Phone (770) 834-1008

705 Dallas Hwy
Ste 103
Villa Rica, GA 30180
Phone (404) 875-9011

Organizations & group practices 3

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1386872950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 CLINIC AVENUE",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174414",
            "telephone_number": "770-834-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 CLINIC AVENUE",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174414",
            "telephone_number": "770-834-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCEY",
        "first_name": "LAUREN",
        "middle_name": "WEST",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "003601",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "69463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003132816A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.