Individual provider Active NPI

Yelenny Amairany Argueta

  • Family Medicine Physician
  • Loganville, GA
National Provider Identifier
1861239287
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RN287709 Issued in GA
Practice address
2765 Milton Bryan Dr
Loganville, GA 30052-3903
Phone
(678) 650-7959
NPI assigned
Jul 12, 2024
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN287709 GA Primary

Addresses

Primary practice location

2765 Milton Bryan Dr
Loganville, GA 30052-3903

Mailing address

2765 Milton Bryan Dr
Loganville, GA 30052-3903
Phone (678) 650-7959

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103003167 GA Practitioner - Nurse Practitioner 0042748089 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Salud Familiar Norcross Medical Clinic LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

5836 Buford Hwy
Ste C
Norcross, GA 30071
Phone (770) 734-9920

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1861239287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 MILTON BRYAN DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300523903",
            "telephone_number": "678-650-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 MILTON BRYAN DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300523903",
            "telephone_number": "678-650-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARGUETA",
        "first_name": "YELENNY",
        "middle_name": "AMAIRANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN287709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

Verify at the official NPI Registry.