Individual provider Active NPI

Guang Yang, DPM

  • Podiatrist
  • Atlanta, GA
National Provider Identifier
1417417742
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD001541 Issued in GA
Practice address
550 Peachtree St NE Ste 1960
Atlanta, GA 30308-2247
Phone
(404) 589-1330
NPI assigned
Mar 22, 2019
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD001541 GA Primary

Addresses

Primary practice location

550 Peachtree St NE Ste 1960
Atlanta, GA 30308-2247

Mailing address

4101 Charlotte Ave Ste F185
Nashville, TN 37209-4066
Phone (678) 426-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230628001405 GA Practitioner - Podiatry 5597123265 Reassigns benefits to 3 organizations
I20260616003783 OR Practitioner - Podiatry 5597123265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village Podiatry Group LLCGroup PAC ID 4587646971, 51 clinicians
Mystic Medical LLCGroup PAC ID 6305165655, 8 clinicians

Practice addresses (Care Compare)

550 Peachtree Nest
Suite 1960
Atlanta, GA 30308-2225
Phone (404) 589-1330

5555 Glenridge Connector
Suite 200
Atlanta, GA 30342-4815
Phone (404) 459-2516

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mystic Medical, LLC CurrentSince Jan 20, 2026 Accepting new patients
Pearl Foot and Ankle LLC Podiatrist CurrentSince Apr 28, 2026 Accepting new patients
Village Podiatry Group II, LLC. Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Village Podiatry Group, L.L.C. Podiatrist CurrentSince Aug 1, 2023 Accepting new patients
Village Podiatry Group II, LLC. Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Eastside Foot and Ankle Podiatrist CurrentSince Apr 28, 2026 Accepting new patients
Village Podiatry Group LLC Podiatrist CurrentSince Aug 1, 2023 Accepting new patients

Locations

2045 Peachtree Rd NE
Ste 810
Atlanta, GA 30309
Phone (404) 351-0770

5555 Glenridge Connector
Ste 200
Sandy Springs, GA 30342
Phone (404) 459-2516

12672 NW Barnes Rd
Ste 100
Portland, OR 97229
Phone (503) 336-0169

1827 NE 44th Ave
Ste 100
Portland, OR 97213
Phone (503) 284-2000

4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171

Interoperability endpoints

  • Direct secure messaging: guang.yang.1@4399.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1417417742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 CHARLOTTE AVE STE F185",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094066",
            "telephone_number": "678-426-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE STE 1960",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082247",
            "telephone_number": "404-589-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "GUANG",
        "name_prefix": "Ms.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.