Individual provider Active NPI

Norman Lee Yates III, MD

  • Surgery Physician
  • Savannah, GA
National Provider Identifier
1538197355
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
050761 Issued in GA
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

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
928604424AMedicaidGA
928604424FMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505000579 GA Practitioner - General SurgeryPractitioner - Vascular Surgery 7416945647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Mercer University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph's Vascular Group, LLCGroup PAC ID 6305163650, 6 clinicians

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

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)16
Removal of tissue11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Vascular Group, LLC Surgery CurrentSince Dec 1, 2016 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

  • Direct secure messaging: dryate@direct.sjchs.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.