Active NPI
Asa Yancy Health Center
- Clinic/Center
- Atlanta, GA
National Provider Identifier
1447264163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- R042007
- Legal business name
- ASA YANCY HEALTH CENTER
- Practice address
- 1247 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318-6657 - Phone
- (404) 616-2265
- Fax
- (404) 881-0622
- NPI assigned
- Jul 28, 2006
- Last updated
- Oct 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carla Mae Schissel, R.N., PHD
- Title
- Nurse Practitioner
- Phone
- (404) 616-2265
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | R042007 | GA | Primary |
Addresses
Primary practice location
1247 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318-6657
Mailing address
1886 Windemere Dr NE
Atlanta, GA 30324-4918
Phone (404) 874-4609
Other names 1
- Grady Health System
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Atlanta, GA
- NPI 1609055169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193788800000",
"number": "1447264163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1886 WINDEMERE DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303244918",
"telephone_number": "404-874-4609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1247 DONALD LEE HOLLOWELL PKWY NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303186657",
"telephone_number": "404-616-2265",
"fax_number": "404-881-0622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASA YANCY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2007-10-31",
"status": "A",
"authorized_official_last_name": "SCHISSEL",
"authorized_official_first_name": "CARLA",
"authorized_official_middle_name": "MAE",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "404-616-2265",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "R.N., PHD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "GA",
"license": "R042007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grady Health System",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.