Laura Lynn Hudson-Yedvobnick, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002474 Issued in GA

Practice address

5405 Memorial Dr Ste D
Stone Mountain, GA 30083-3236

Phone

(404) 296-3800

Fax

(404) 296-8753

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laura Lynn Hudson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laura.yedvobnick@gadirect.net
• Direct secure messaging: laura.yedvobnick@tpc.gadirect.net

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.

• Edward M. Gotlieb, M.D., Et Al Dba the Pediatric Center

  dba The Pediatric Center

  • Pediatrics Physician
  • Stone Mountain, GA
  • NPI 1619197498
  NPD

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1861526030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 MEMORIAL DR STE D",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833236",
            "telephone_number": "404-296-3800",
            "fax_number": "404-296-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 MEMORIAL DR STE D",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833236",
            "telephone_number": "404-296-3800",
            "fax_number": "404-296-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON-YEDVOBNICK",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "002474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000148C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "HUDSON",
            "middle_name": "LYNN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aarhea Hope, DNP, FNP-C
• Riesa Hoque
• Max Alexander Horowitz, D.C.
• Gary L Howard, DISPENSING OPTICIAN
• Mirela Huccheva, DMD
• Hudu Yoga & Therapy
• Human Excellence Behavioral Health Services
• Vanessa Lynn Hunt, RD
• Ericka Hutchins, BSN, RN
• Michele Monique Hutchins

• Physician Assistant in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.