Individual provider Active NPI

Caitlin Thomson Yawn, ANP

  • Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1689924474
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
190461 Issued in GA
Practice address
1326 Eisenhower Dr BLDG 1
Savannah, GA 31406
Phone
(912) 691-4100
NPI assigned
Sep 19, 2012
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 190461 GA
Nurse Practitioner 363L00000X 190461 GA Primary

Addresses

Primary practice location

1326 Eisenhower Dr BLDG 1
Savannah, GA 31406

Mailing address

PO Box 15849
Savannah, GA 31416-2549
Phone (912) 303-3552

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
I20160120000247 GA Practitioner - Nurse Practitioner 0143523506 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRH Physician Practices, LLCGroup PAC ID 5193727964, 38 clinicians

Practice addresses (Care Compare)

1305 Ocilla Rd
Douglas, GA 31533-2209
Phone (912) 384-0600

1508 Tebeau St
Waycross, GA 31501-5327
Phone (912) 384-5832

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
190461GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince May 1, 2019 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince May 1, 2019 Accepting new patients
CRH Physician Practices, LLC CurrentSince Jul 18, 2023 Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

1326 Eisenhower Dr
#1
Savannah, GA 31406
Phone (912) 691-4100

1326 Eisenhower Dr
Bldg 1
Savannah, GA 31406
Phone (912) 691-4100

1326 Eisenhower Dr
Bldg 2
Savannah, GA 31406
Phone (912) 354-5543

1508 Tebeau St
Waycross, GA 31501
Phone (912) 383-6575

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: caitlin.yawn@hca5.eclinicaldirectplus.com
  • Direct secure messaging: caitlin.thomson.yawn.1@9964.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1689924474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15849",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314162549",
            "telephone_number": "912-303-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 EISENHOWER DR BLDG 1",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31406",
            "telephone_number": "912-691-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON YAWN",
        "first_name": "CAITLIN",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "190461",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "190461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.