Active NPI
Yolla Jules, M.D.
- Psychiatry Physician
- Valdosta, GA
National Provider Identifier
1447213277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 66174
- Practice address
- 3120 N Oak Street Ext
Behavioral Health Services of South Ga
Valdosta, GA 31602-5909 - Phone
- (229) 671-6170
- Fax
- (229) 671-6779
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | 15738 | PR | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 66174 | GA | |
| Psychiatry Physician | 2084P0800X | 66174 | GA | Primary |
Addresses
Primary practice location
3120 N Oak Street Ext
Behavioral Health Services of South Ga
Valdosta, GA 31602-5909
Mailing address
3120 N Oak Street Ext
Behavioral Health Services of South Ga
Valdosta, GA 31602-5909
Phone (229) 671-6170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0033134918C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66174 | GA | MD | Psychiatry Physician |
| 15738 | PR | MD | Psychiatric Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Services of South Georgia | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Valdosta, GA
- NPI 1881734333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413244800000",
"number": "1447213277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 N OAK STREET EXT",
"address_2": "BEHAVIORAL HEALTH SERVICES OF SOUTH GA",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316025909",
"telephone_number": "229-671-6170",
"fax_number": "229-671-6779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 N OAK STREET EXT",
"address_2": "BEHAVIORAL HEALTH SERVICES OF SOUTH GA",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316025909",
"telephone_number": "229-671-6170",
"fax_number": "229-671-6779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULES",
"first_name": "YOLLA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2014-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "PR",
"license": "15738",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "GA",
"license": "66174",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "66174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0033134918C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.