Individual provider Active NPI

Yolanda Wimberly, MD

  • Pediatrics Physician
  • Atlanta, GA
National Provider Identifier
1396745279
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
051403 Issued in GA
Practice address
35 Jesse Hill Jr. Drive
Atlanta, GA 30303
Phone
(404) 785-9850
Fax
(404) 785-9828
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 051403 GA Primary

Addresses

Primary practice location

35 Jesse Hill Jr. Drive
Atlanta, GA 30303

Mailing address

75 Piedmont Ave
Ste 700
Atlanta, GA 30303-2544
Phone (404) 756-1410

Other identifiers 1

IdentifierTypeStateIssuer
00968954AMedicaidGA

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
I20181002003639 GA Practitioner - Pediatric Medicine 8820340862 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051403GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Healthcare, Inc. Pediatrics CurrentSince Jul 28, 2018 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Sep 1, 2021 Accepting new patients
Grady Memorial Hospital Corporation Pediatrics CurrentSince Sep 1, 2021 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Sep 1, 2021 Accepting new patients

Locations

720 Westview Dr SW
Ste 100A
Atlanta, GA 30310

3896 Princeton Lakes Way SW
Atlanta, GA 30331
Phone (404) 489-4444

35 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 785-9500

75 Piedmont Ave NE
Ste 700
Atlanta, GA 30303
Phone (404) 756-1410

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086

Interoperability endpoints

  • Direct secure messaging: ywimberly45898@choa.gadirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1396745279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PIEDMONT AVE",
            "address_2": "STE 700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032544",
            "telephone_number": "404-756-1410",
            "fax_number": "404-756-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JESSE HILL JR. DRIVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30303",
            "telephone_number": "404-785-9850",
            "fax_number": "404-785-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMBERLY",
        "first_name": "YOLANDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "051403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00968954A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.