Individual provider Active NPI

Fang Helen Yu, NURSE PRACTITIONER

  • Nurse Practitioner
  • Fayetteville, GA
National Provider Identifier
1588097612
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN188712 Issued in GA
Practice address
1240 Highway 54 W
Building 300, Suite 310
Fayetteville, GA 30214-4557
Phone
(770) 461-6400
Fax
(770) 460-2941
NPI assigned
Aug 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN188712 GA Primary

Addresses

Primary practice location

1240 Highway 54 W
Building 300, Suite 310
Fayetteville, GA 30214-4557

Mailing address

114 Townpark Dr NW
Suite 240
Kennesaw, GA 30144-3715
Phone (770) 952-8612

Other identifiers 2

IdentifierTypeStateIssuer
003140290CMedicaidGA
20250I1934OtherGAMEDICARE

Other names 1

  • Helen Yu Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131209001507 GA Practitioner - Nurse Practitioner 2365679826 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN188712GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Allergy & Asthma Clinic PA CurrentSince Feb 23, 2015 Accepting new patients

Locations

100 Old Ball Ground Hwy
#B
Canton, GA 30114
Phone (770) 720-8000

1240 Highway 54 W
Ste 300
Fayetteville, GA 30214

1240 Highway 54 W
Ste 310
Fayetteville, GA 30214
Phone (770) 461-6400

114 Townpark Dr NW
Ste 240
Kennesaw, GA 30144
Phone (770) 485-3723

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJBFBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1588097612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 TOWNPARK DR NW",
            "address_2": "SUITE 240",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443715",
            "telephone_number": "770-952-8612",
            "fax_number": "678-803-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 HIGHWAY 54 W",
            "address_2": "BUILDING 300, SUITE 310",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144557",
            "telephone_number": "770-461-6400",
            "fax_number": "770-460-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "FANG",
        "middle_name": "HELEN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN188712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003140290C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "20250I1934",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELEN",
            "last_name": "YU",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.