Active NPI
James L Yancey
- Family Nurse Practitioner
- Lagrange, GA
National Provider Identifier
1437762747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN269230
- Practice address
- 1602 Vernon Rd Ste 400
Lagrange, GA 30240-4129 - Phone
- (068) 829-3417
- Fax
- (706) 884-0131
- NPI assigned
- Aug 26, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Nurse Practitioner | 363LF0000X | RN269230 | GA | Primary |
Addresses
Primary practice location
1602 Vernon Rd Ste 400
Lagrange, GA 30240-4129
Mailing address
112 N Willowcrest Rd
Lagrange, GA 30240-6341
Phone (706) 333-9528
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lagrangeinternalmedicine@1300.direct.myezyaccess.com | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN269230 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lagrange Emergency Physicians, LLC | Current | Accepting new patients |
Locations
1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369
Interoperability endpoints
- jyancey157273@directwellstar.org
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Lagrange, GA
- NPI 1760437560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1437762747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 N WILLOWCREST RD",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302406341",
"telephone_number": "706-333-9528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 VERNON RD STE 400",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404129",
"telephone_number": "068-829-3417",
"fax_number": "706-884-0131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANCEY",
"first_name": "JAMES",
"middle_name": "L",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-26",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN269230",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lagrangeinternalmedicine@1300.direct.myezyaccess.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1602 Vernon Rd Ste 400",
"city": "LaGrange",
"state": "GA",
"country_code": "US",
"postal_code": "302404129",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.