Yara Fattouh, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

053522 Issued in GA

Practice address

1111 Hwy 76
Chatsworth, GA 30705

Phone

(706) 695-5500

Fax

(706) 695-5512

NPI assigned

Sep 23, 2005

Last updated

Jun 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Georgia Home Health Agency, an Amedysis Comp Home health agency, Ringgold, GA, CCN 117028
• Hamilton Medical Center Hospital, Dalton, GA, CCN 110001
• Adventhealth Murray Hospital, Chatsworth, GA, CCN 110050

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Magnolia Family Medicine

  • Family Medicine Physician
  • Chatsworth, GA
  • NPI 1174758023
  Medicare reassignment Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System Georgia, Inc.

  dba AdventHealth Murray

  • General Acute Care Hospital
  • Chatsworth, GA
  • NPI 1750776571
  Care Compare affiliation
• Amedisys Georgia, L.L.C.

  dba North Georgia Home Health Agency, an Amedisys Company

  • Home Health Agency
  • Ringgold, GA
  • NPI 1548218290
  Care Compare affiliation
• Hamilton Medical Center, Inc.

  • General Acute Care Hospital
  • Dalton, GA
  • NPI 1528056066
  Care Compare affiliation
• Hamilton Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Dalton, GA
  • NPI 1760645782
  Care Compare affiliation
• Hamilton Physician Group Inc

  • Cardiovascular Disease Physician
  • Dalton, GA
  • NPI 1235455569

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1518953785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1383",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "30705",
            "telephone_number": "706-695-5500",
            "fax_number": "706-695-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HWY 76",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "30705",
            "telephone_number": "706-695-5500",
            "fax_number": "706-695-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTOUH",
        "first_name": "YARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "53522",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "053522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "837893819A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TA ID NUMBER",
            "identifier": "270193875",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Ray Elliott, FNP
• Evernorth Direct Health LLC (Mohawk Healthy Life Center - Miles/DVD)
• Evernorth Direct Health LLC
• Eversage Wellness and Psychiatry
• Excel Therapy Services, Inc.
• Naomi Ruth Fehrle, APRN, BC
• Julie Ann Feltman, R.PH.
• Patrick Shane Flanagan, PHARM. D.
• Abbey Michala Flood, PHARM D.
• Fort Mountain Emergency Physicians, LLC

• Family Medicine Physician in Chatsworth, GA
• Providers in Chatsworth, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.