Individual provider Active NPI

Ginger L Yrabedra, NP

  • Primary Care Nurse Practitioner
  • Cartersville, GA
National Provider Identifier
1407417652
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN239792 Issued in GA
Practice address
491 E Main St
Cartersville, GA 30121-3353
Phone
(770) 387-4512
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN239792 GA Primary

Addresses

Primary practice location

491 E Main St
Cartersville, GA 30121-3353

Mailing address

491 E Main St
Cartersville, GA 30121-3353
Phone (770) 387-4512

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190808002441 GA Practitioner - Nurse Practitioner 5395072656 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN239792GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Healthcaring Clinic of Georgia, LLC CurrentSince Jul 1, 2019 Accepting new patients
David E Kim MD PC CurrentSince Jul 1, 2019 Accepting new patients

Locations

491 E Main St
Cartersville, GA 30121
Phone (678) 535-1170

Organizations & group practices 2

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": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1407417652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 E MAIN ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301213353",
            "telephone_number": "770-387-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 E MAIN ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301213353",
            "telephone_number": "770-387-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YRABEDRA",
        "first_name": "GINGER",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN239792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.