Active NPI
Dennis Alva Yelverton, PA
- Physician Assistant
- Atlanta, GA
National Provider Identifier
1790743052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002227
- Practice address
- 95 Collier Road
Suite 2075
Atlanta, GA 30309 - Phone
- (404) 605-2800
- Fax
- (404) 351-5983
- NPI assigned
- May 3, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002227 | GA | Primary |
Addresses
Primary practice location
95 Collier Road
Suite 2075
Atlanta, GA 30309
Mailing address
275 Collie Road
Suite 500
Atlanta, GA 30309
Phone (404) 605-2800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 902763829A | Other | GA | PEACH STATE |
| 902763829A | Medicaid | GA | |
| 402993 | Other | GA | WELLCAR |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2227 | GA | MD | Clinical Psychologist |
| 002227 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center Family Practice | Past | Accepting new patients | |
| Cardiology of Georgia | Past | Accepting new patients |
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1255495479
-
- Family Medicine Physician
- Commerce, GA
- NPI 1104025717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1790743052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 COLLIE ROAD",
"address_2": "SUITE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30309",
"telephone_number": "404-605-2800",
"fax_number": "404-351-5983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 COLLIER ROAD",
"address_2": "SUITE 2075",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30309",
"telephone_number": "404-605-2800",
"fax_number": "404-351-5983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YELVERTON",
"first_name": "DENNIS",
"middle_name": "ALVA",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "002227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACH STATE",
"identifier": "902763829A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "902763829A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCAR",
"identifier": "402993",
"state": "GA"
}
],
"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 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.