Active NPI
Elliana Juliet Yeager
- Physician Assistant
- Pinehurst, NC
National Provider Identifier
1639916810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 6 Regional Dr Ste D
Pinehurst, NC 28374-9868 - Phone
- (910) 221-7195
- Fax
- (910) 221-7195
- NPI assigned
- Jul 13, 2024
- Last updated
- Feb 23, 2025
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary |
Addresses
Primary practice location
6 Regional Dr Ste D
Pinehurst, NC 28374-9868
Mailing address
110 Acorn LN
Latrobe, PA 15650-3725
Phone (724) 516-6754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinehurst Foot Specialist | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Charlotte, NC
- NPI 1730903675
-
- Clinic/Center
- Raleigh, NC
- NPI 1073380515
-
- Podiatric Clinic/Center
- Pinehurst, NC
- NPI 1578692703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740268800000",
"number": "1639916810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 ACORN LN",
"city": "LATROBE",
"state": "PA",
"postal_code": "156503725",
"telephone_number": "724-516-6754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 REGIONAL DR STE D",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283749868",
"telephone_number": "910-221-7195",
"fax_number": "910-221-7195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEAGER",
"first_name": "ELLIANA",
"middle_name": "JULIET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-13",
"last_updated": "2025-02-23",
"certification_date": "2025-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.