Active NPI
Khamariah Patrice Yelder-Anderson
- Family Nurse Practitioner
- Marietta, GA
National Provider Identifier
1568270635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-NP324120
- Practice address
- 1100 Johnson Ferry Rd Ste 510
Marietta, GA 30068-2794 - Phone
- (943) 888-9006
- NPI assigned
- Dec 20, 2024
- Last updated
- Oct 2, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN-NP324120 | GA | Primary |
| Registered Nurse | 163W00000X | RN324120 | GA |
Addresses
Primary practice location
1100 Johnson Ferry Rd Ste 510
Marietta, GA 30068-2794
Mailing address
590 Lanier Ave W
Fayetteville, GA 30214-1504
Phone (678) 688-9685
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 |
|---|---|---|---|
| RN324120 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1568270635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 LANIER AVE W",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302141504",
"telephone_number": "678-688-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 JOHNSON FERRY RD STE 510",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682794",
"telephone_number": "943-888-9006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YELDER-ANDERSON",
"first_name": "KHAMARIAH",
"middle_name": "PATRICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-20",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "APRN-NP324120",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN324120",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.