Active NPI
Yolanda M Whyte, M.D.
- Pediatrics Physician
- Conyers, GA
National Provider Identifier
1558398016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 055352
- Practice address
- 2055 Gees Mill Rd NE Ste 315
Conyers, GA 30013-1364 - Phone
- (470) 270-0245
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 055352 | GA | Primary |
Addresses
Primary practice location
2055 Gees Mill Rd NE Ste 315
Conyers, GA 30013-1364
Mailing address
PO Box 720164
Atlanta, GA 30358-2164
Phone (678) 953-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 586893101A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055352 | GA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1558398016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 720164",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303582164",
"telephone_number": "678-953-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 GEES MILL RD NE STE 315",
"city": "CONYERS",
"state": "GA",
"postal_code": "300131364",
"telephone_number": "470-270-0245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHYTE",
"first_name": "YOLANDA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "055352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "586893101A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.