Active NPI
Beverly Randolph Yancey, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Cedartown, GA
National Provider Identifier
1568052454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- GAA-NP000028
- Practice address
- 180 Water Oak Dr
Cedartown, GA 30125-2095 - Phone
- (770) 748-0030
- Fax
- (770) 749-4418
- NPI assigned
- Jan 25, 2021
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | GAA-NP000028 | GA | Primary |
Addresses
Primary practice location
180 Water Oak Dr
Cedartown, GA 30125-2095
Mailing address
180 Water Oak Dr
Cedartown, GA 30125-2095
Phone (770) 748-0030
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | npyancey@highlandrivers.org | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GAA-NP000028 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1568052454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 WATER OAK DR",
"city": "CEDARTOWN",
"state": "GA",
"postal_code": "301252095",
"telephone_number": "770-748-0030",
"fax_number": "770-749-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 WATER OAK DR",
"city": "CEDARTOWN",
"state": "GA",
"postal_code": "301252095",
"telephone_number": "770-748-0030",
"fax_number": "770-749-4418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANCEY",
"first_name": "BEVERLY",
"middle_name": "RANDOLPH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-25",
"last_updated": "2021-01-25",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "GAA-NP000028",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "npyancey@highlandrivers.org",
"affiliation": "N",
"endpointDescription": "Work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Work email",
"address_1": "180 Water Oak Dr",
"city": "Cedartown",
"state": "GA",
"country_code": "US",
"postal_code": "301252095",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cedartown, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.