NPIMap

Organization Active NPI

N Yelamanchi MD PA

  • Primary Care Clinic/Center
  • The Villages, FL
National Provider Identifier
1447433990
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME81890 Issued in FL
Legal business name
N YELAMANCHI MD PA
Practice address
1950 Laurel Manor Dr
Suite 172
The Villages, FL 32162-5603
Phone
(352) 516-7106
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Nalini A Yelamanchi, MDNPI 1760559785
Title
President
Phone
(352) 516-7106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME81890 FL Primary

Addresses

Primary practice location

1950 Laurel Manor Dr
Suite 172
The Villages, FL 32162-5603

Mailing address

1950 Laurel Manor Dr
Suite 172
The Villages, FL 32162-5603
Phone (352) 516-7106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080513000551 FL Part B Supplier - Clinic/Group Practice 0244309599 Receives reassigned benefits from 3 practitioners
Practice locations: Oxford, FL; The Villages, FL

National Provider Directory

National Provider Directory

Locations

12155 County Road 103
Oxford, FL 34484
Phone (352) 391-5900

11834 County Road 101
Ste 203
The Villages, FL 32162
Phone (352) 391-5900

1950 Laurel Manor Dr
Ste 172
The Villages, FL 32162
Phone (352) 391-5900

340 Heald Way
Ste 216
The Villages, FL 32163
Phone (352) 633-8930

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1447433990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 LAUREL MANOR DR",
            "address_2": "SUITE 172",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625603",
            "telephone_number": "352-516-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LAUREL MANOR DR",
            "address_2": "SUITE 172",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625603",
            "telephone_number": "352-516-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N YELAMANCHI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "YELAMANCHI",
        "authorized_official_first_name": "NALINI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-516-7106",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME81890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.