Individual provider Active NPI

Kelley Mildred Yarborough, CRNA

  • Certified Registered Nurse Anesthetist
  • Atlanta, GA
National Provider Identifier
1760437750
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN086809 Issued in GA
Practice address
95 Collier Rd NW
Suite 4075
Atlanta, GA 30309-1796
Phone
(404) 355-3200
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN086809 GA Primary

Addresses

Primary practice location

95 Collier Rd NW
Suite 4075
Atlanta, GA 30309-1796

Mailing address

486 Ansley Walk Ter NE
Atlanta, GA 30309-2758
Phone (404) 575-2199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
18348SCMDPublic Health & General Preventive Medicine Physician
RN086809GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2012 Accepting new patients
Physician'S Anesthesia Services, L.L.C. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2013 Accepting new patients
Northlake Anesthesia Professionals, LLC Past Accepting new patients
Ahs Surgery Center Canton LLC PastSince Nov 5, 2016 Accepting new patients
Ahp of Dekalb LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Ahp of Central Georgia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Georgia Pain and Spine Solutions, PC Past Accepting new patients
Carolina Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Piedmont Anesthesia Associates, L.L.C Past Accepting new patients

Locations

488 Kennesaw Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 427-3075

1555 Brampton Ave
Statesboro, GA 30458
Phone (912) 243-9299

2001 Professional Way
Ste 270
Woodstock, GA 30188
Phone (770) 926-0071

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18187/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1305849600000",
    "number": "1760437750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 ANSLEY WALK TER NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092758",
            "telephone_number": "404-575-2199",
            "fax_number": "404-575-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 COLLIER RD NW",
            "address_2": "SUITE 4075",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091796",
            "telephone_number": "404-355-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBOROUGH",
        "first_name": "KELLEY",
        "middle_name": "MILDRED",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN086809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.