Active NPI
Norman Lee Yates III, MD
- Surgery Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 050761
- Practice address
- 11909 McAuley Drive
Suite 100 A2
Savannah, GA 31419 - Phone
- (912) 354-8331
- Fax
- (912) 352-9782
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 050761 | GA | Primary |
Addresses
Primary practice location
11909 McAuley Drive
Suite 100 A2
Savannah, GA 31419
Mailing address
836 E. 65TH Street
Suite 22
Savannah, GA 31405
Phone (912) 819-7878
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 928604424A | Medicaid | GA | |
| 928604424F | Medicaid | GA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Mercer University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11705 Mercy Blvd
Savannah, GA 31419-1711
5102 Paulsen St
Suite 2
Savannah, GA 31405-4614
Phone (912) 954-8331
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 16 |
| Removal of tissue | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph's Vascular Group, LLC | Surgery | Current | Accepting new patients |
| Vicksburg Healthcare LLC | Past | Accepting new patients | |
| SJC Medical Group Inc | Past | Accepting new patients |
Locations
1745 City Circle Rd
Baxley, GA 31513
Phone (912) 427-3111
101 Saint Josephs Candler Dr
Ste 210
Pooler, GA 31322
5102 Paulsen St
Savannah, GA 31405
Phone (912) 349-4227
11909 McAuley Dr
Ste A2
Savannah, GA 31419
Phone (912) 925-3767
11909 McAuley Dr
Ste 100A2
Savannah, GA 31419
Phone (912) 925-3767
5102 Paulsen St
Bldg 2
Savannah, GA 31405
Phone (912) 954-8331
836 E 65th St
Ste 22
Savannah, GA 31405
Phone (912) 819-7878
Interoperability endpoints
- dryate@direct.sjchs.org
- norman.yates@sjcmg.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Vascular Surgery Physician
- Savannah, GA
- NPI 1164829883
-
- Surgery Physician
- Savannah, GA
- NPI 1124401591
-
- Family Medicine Physician
- Savannah, GA
- NPI 1811233828
-
dba River Region Health System
- Anesthesiology Physician
- Vicksburg, MS
- NPI 1629084058
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1538197355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 E. 65TH STREET",
"address_2": "SUITE 22",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31405",
"telephone_number": "912-819-7878",
"fax_number": "912-819-3320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11909 MCAULEY DRIVE",
"address_2": "SUITE 100 A2",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31419",
"telephone_number": "912-354-8331",
"fax_number": "912-352-9782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "NORMAN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "050761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "928604424A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "928604424F",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.