Individual provider Active NPI

Yitzchak Hermoni, M.D.

  • Cardiovascular Disease Physician
  • Cumming, GA
National Provider Identifier
1699720052
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
033352 Issued in GA
Practice address
1200 Bald Ridge Marina Rd
Cumming, GA 30041-8494
Phone
(770) 886-0003
Fax
(770) 886-5030
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 033352 GA Primary

Addresses

Primary practice location

1200 Bald Ridge Marina Rd
Cumming, GA 30041-8494

Mailing address

1200 Bald Ridge Marina Rd
Cumming, GA 30041-8494
Phone (770) 886-0003

Other identifiers 6

IdentifierTypeStateIssuer
00446025EMedicaidGA
5994428OtherAETNA
02500011OtherUNITED HEALTHCARE
686997OtherBCBS OF ALABAMA
1396339-005OtherCIGNA
545418OtherBLUE CROSS BLUE SHIELD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000483 GA Practitioner - Cardiovascular Disease (Cardiology) 0941290423 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Specialty Associates, LLC CurrentSince Sep 1, 2009 Accepting new patients
The Emory Clinic Inc Cardiovascular Disease CurrentSince Aug 1, 2012 Accepting new patients

Locations

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1200 Bald Ridge Marina Rd
Cumming, GA 30041
Phone (770) 781-8650

1200 Bald Ridge Marina Rd
Ste 150
Cumming, GA 30041
Phone (770) 886-0003

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

Interoperability endpoints

  • Direct secure messaging: yhermoni20326@direct.emory.org

Organizations & group practices 2

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699720052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BALD RIDGE MARINA RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300418494",
            "telephone_number": "770-886-0003",
            "fax_number": "770-886-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BALD RIDGE MARINA RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300418494",
            "telephone_number": "770-886-0003",
            "fax_number": "770-886-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMONI",
        "first_name": "YITZCHAK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "033352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00446025E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5994428",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "02500011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "686997",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1396339-005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "545418",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.