Active NPI
Yitzchak Hermoni, M.D.
- Cardiovascular Disease Physician
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 033352
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00446025E | Medicaid | GA | |
| 5994428 | Other | AETNA | |
| 02500011 | Other | UNITED HEALTHCARE | |
| 686997 | Other | BCBS OF ALABAMA | |
| 1396339-005 | Other | CIGNA | |
| 545418 | Other | BLUE 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Specialty Associates, LLC | Current | Accepting new patients | |
| The Emory Clinic Inc | Cardiovascular Disease | Current | 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
- 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.
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.