Active NPI
Yolanda Marie Huyghue, PAC
- Physician Assistant
- Atlanta, GA
National Provider Identifier
1821056193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004011
- Practice address
- 868 York Ave SW
Atlanta, GA 30310-2750 - Phone
- (404) 752-1400
- Fax
- (404) 756-8749
- NPI assigned
- May 3, 2006
- Sex
- Female
- 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 | 004011 | GA | Primary |
Addresses
Primary practice location
868 York Ave SW
Atlanta, GA 30310-2750
Mailing address
868 York Ave SW
Atlanta, GA 30310-2750
Phone (404) 752-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 457848599A | Medicaid | GA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004011 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Family Health Centers of Georgia, Inc | Current | Accepting new patients |
Locations
868 York Ave SW
Atlanta, GA 30310
Interoperability endpoints
- yolanda.huyghue@398008301912068.direct.elationemr.com
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.
-
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1720080989
-
- Emergency Medicine Physician
- Griffin, GA
- NPI 1952746638
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": "1403827200000",
"number": "1821056193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "868 YORK AVE SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303102750",
"telephone_number": "404-752-1400",
"fax_number": "404-756-8749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "868 YORK AVE SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303102750",
"telephone_number": "404-752-1400",
"fax_number": "404-756-8749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYGHUE",
"first_name": "YOLANDA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2014-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "004011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "457848599A",
"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 Jun 27, 2014; 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.