Individual provider Active NPI

Yelena Ranika Makori, M.D.

  • Internal Medicine Physician
  • Douglasville, GA
National Provider Identifier
1861620353
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
068637 Issued in GA
Practice address
6025 Professional Pkwy Ste 200
Douglasville, GA 30134-5610
Phone
(770) 949-0555
Fax
(770) 949-4424
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0116023998 VA
Student in an Organized Health Care Education/Training Program 390200000X 0116023998 VA
Internal Medicine Physician 207R00000X 068637 GA Primary

Addresses

Primary practice location

6025 Professional Pkwy Ste 200
Douglasville, GA 30134-5610

Mailing address

905 Dixie St
Carrollton, GA 30117-4417
Phone (770) 812-5831

Other names 1

  • Dr. Yelena Ranika Harris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121106000382 GA Practitioner - Internal Medicine 2961653688 Reassigns benefits to 3 organizations
I20210505001315 AL Practitioner - Internal Medicine 2961653688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Qcpi-Villagemd PCGroup PAC ID 8123389277, 76 clinicians

Practice addresses (Care Compare)

1805 Parke Plaza Cir
Suite 101
Stone Mountain, GA 30087-3646
Phone (770) 879-0436

Hospital & facility affiliations

  • Wellstar Home Health, LLC Home health agency, Marietta, GA, CCN 117102
  • Central Home Health Care, an Amedisys Company Home health agency, Douglasville, GA, CCN 117050
  • Wellstar Douglas Medical Center Hospital, Douglasville, GA, CCN 110184
  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
068637GAMDInternal Medicine Physician
0116023998VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Medical Group Inc Internal Medicine CurrentSince Oct 9, 2012 Accepting new patients
Tanner Primary Care of Wedowee Inc CurrentSince May 1, 2021 Accepting new patients
TMC Haralson Family Healthcare Center CurrentSince May 1, 2021 Accepting new patients

Locations

1030 Main St S
Wedowee, AL 36278
Phone (256) 357-2188

76 County Road 64
Ste 3
Woodland, AL 36280
Phone (256) 449-2001

204 Allen Memorial Dr
Ste 201
Bremen, GA 30110
Phone (770) 537-6500

706 Dixie St
Ste 220
Carrollton, GA 30117
Phone (770) 812-8825

706 Dixie St
Ste 350
Carrollton, GA 30117
Phone (770) 812-5831

157 Clinic Ave
Ste 302A
Carrollton, GA 30117
Phone (770) 812-5886

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

Interoperability endpoints

  • Direct secure messaging: yelena.makori.1@21533.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1861620353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174417",
            "telephone_number": "770-812-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 PROFESSIONAL PKWY STE 200",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345610",
            "telephone_number": "770-949-0555",
            "fax_number": "770-949-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKORI",
        "first_name": "YELENA",
        "middle_name": "RANIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0116023998",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116023998",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "068637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YELENA",
            "last_name": "HARRIS",
            "middle_name": "RANIKA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

Verify at the official NPI Registry.