Tewodros Yehualashet, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

11747 Issued in GA

Practice address

6003 Veterans Pkwy
Columbus, GA 31909-6200

Phone

(706) 223-1933

Fax

(706) 223-1934

NPI assigned

Jul 5, 2023

Sex

Male

Sole proprietor

No

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rivertown Psychiatry PCGroup PAC ID 1153575410, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rivertown Psychiatry, PC

  • Psychiatry Physician
  • Columbus, GA
  • NPI 1023362852
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1467130039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096200",
            "telephone_number": "706-223-1933",
            "fax_number": "706-223-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096200",
            "telephone_number": "706-223-1933",
            "fax_number": "706-223-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEHUALASHET",
        "first_name": "TEWODROS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Savannah Yates
• Cheryl Kay Yatsko, PHD
• Leigh Ann Yaughn, LPC
• Rachel Ann Yeager, PA-C
• Alberta Yeboaa, RBT
• Donna J Yeiser, MD
• John Yeiser, M.D.
• Merci Yeldell, LAPC
• Yoe Family Eye Center PC
• William T. Yoe, O.D.

• Physician Assistant in Columbus, GA
• Providers in Columbus, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.