Individual provider Active NPI

Kewei Yu, M.D. PH.D

  • Neurology Physician
  • Suwanee, GA
National Provider Identifier
1619108354
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
78736 Issued in GA
Practice address
3925 Johns Creek CT Ste C2
Suwanee, GA 30024-6618
Phone
(470) 268-6980
Fax
(888) 815-1765
NPI assigned
Jul 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME127101 FL
Clinical Neurophysiology Physician 2084N0600X 78736 GA
Interventional Pain Medicine Physician 208VP0014X 78736 GA
Neurology Physician 2084N0400X 78736 GA Primary

Addresses

Primary practice location

3925 Johns Creek CT Ste C2
Suwanee, GA 30024-6618

Mailing address

3651 Peachtree Pkwy
Ste E-313
Suwanee, GA 30024-6009
Phone (470) 268-6980

Other practice location 1

426 Exchange Blvd Ste 300
Bethlehem, GA 30620
Phone (770) 298-2467

Other practice location 2

6325 Hospital Pkwy, Johns Creek, GA 30097
Johns Creek, GA 30097
Phone (770) 698-2467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161007001500 AL Practitioner - NeurologyPractitioner - Physical Medicine and Rehabilitation 0244473668 Reassigns benefits to 1 organization
I20200807002803 GA Practitioner - NeurologyPractitioner - Interventional Pain Management 0244473668 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

4035 Johns Creek Pkwy
Suite a
Suwanee, GA 30024-1213
Phone (470) 268-6980

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78736GAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Orthopedic Spine & Sports Medicine Associates P C CurrentSince Oct 1, 2016 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jun 1, 2021 Accepting new patients
Atlantic Advanced Branded Center, LLC. Neurology CurrentSince Jul 22, 2020 Accepting new patients

Locations

52 Medical Park Dr E
Ste 115
Birmingham, AL 35235
Phone (205) 838-3900

1801 Gadsden Hwy
Birmingham, AL 35235
Phone (205) 228-7600

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

426 Exchange Blvd
Ste 300
Bethlehem, GA 30620
Phone (770) 298-2467

1241 Friendship Rd
Ste 110
Braselton, GA 30517
Phone (470) 268-6980

6325 Hospital Pkwy
Johns Creek, GA 30097
Phone (404) 251-1880

629 Beaver Ruin Rd NW
Ste A
Lilburn, GA 30047
Phone (770) 925-4773

2146 Roswell Rd
Ste 108324
Marietta, GA 30062

3651 Peachtree Pkwy
Ste E313
Suwanee, GA 30024

4035 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (470) 268-6980

3925 Johns Creek Ct
Ste C2
Suwanee, GA 30024
Phone (470) 268-6980

Interoperability endpoints

  • Direct secure messaging: kyu40049@direct.conemaugh.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1619108354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 PEACHTREE PKWY",
            "address_2": "STE E-313",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246009",
            "telephone_number": "470-268-6980",
            "fax_number": "888-815-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 JOHNS CREEK CT STE C2",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246618",
            "telephone_number": "470-268-6980",
            "fax_number": "888-815-1765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 Exchange Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "GA",
            "postal_code": "30620",
            "country_code": "US",
            "telephone_number": "770-298-2467",
            "fax_number": "888-815-1765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6325 Hospital Pkwy, Johns Creek, GA 30097",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "30097",
            "country_code": "US",
            "telephone_number": "770-698-2467",
            "fax_number": "888-815-1765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "KEWEI",
        "name_prefix": "Dr.",
        "credential": "M.D. PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-29",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME127101",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "GA",
            "license": "78736",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "78736",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "78736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.