Yvonne Marie Willis-Bendolph

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

2024215531 Issued in GA

Practice address

2968 Stockbridge Way
Dacula, GA 30019-6867

Phone

(404) 944-1189

NPI assigned

Dec 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Y W B Case Management LLC

  • Case Manager/Care Coordinator
  • Dacula, GA
  • NPI 1912718008
  NPD Authorized official

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1447069935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2968 STOCKBRIDGE WAY",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300196867",
            "telephone_number": "404-944-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2968 STOCKBRIDGE WAY",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300196867",
            "telephone_number": "404-944-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS-BENDOLPH",
        "first_name": "YVONNE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": "2024215531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheena Ashley Whitmire, PTA
• Lisa Wiggins, REGISTERED DIETITIAN
• Asiah Lavonne Wilborn
• Hermance Williams, REGISTERED NURSE
• Jasmine C Williams, PT, DPT
• Desheal Winfrey, RN
• Women'S Imaging Specialists - Hamilton Mill, LLC
• Constance Elaine Wooden-Smith, LCSW
• Kim Michele Wyrwa, PTA
• Y W B Case Management LLC

• Case Manager/Care Coordinator in Dacula, GA
• Providers in Dacula, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.