Andrea L Yates, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7948 Issued in GA

Practice address

10 Country Club Dr
Savannah, GA 31410-3406

Phone

(912) 547-4399

NPI assigned

May 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea L Fergus Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Georgia Primary Care Partners, LLC

  • Primary Care Clinic/Center
  • Richmond Hill, GA
  • NPI 1144084856
  NPD

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503619200000",
    "number": "1659727634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COUNTRY CLUB DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314103406",
            "telephone_number": "912-547-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COUNTRY CLUB DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314103406",
            "telephone_number": "912-547-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2017-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "FERGUS",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah J Yancey, PA-C
• Hong Yang, MD
• Jennifer Yannucci, MD
• Eddiemai Yargo
• James Nathan Yarnall, MD
• Norman Lee Yates III, MD
• Kaitlyn Yatson, PA
• Earl Stephen Yeager, M.D.
• Renata W. Yeager, RNFA
• James Albert Yeckley, M.D.

• Physician Assistant in Savannah, GA
• Providers in Savannah, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.