Individual provider Active NPI

Yolanda A Gates, NP-C

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1861639809
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN085176 Issued in GA
Practice address
764 Pine St
Macon, GA 31201-2107
Phone
(478) 633-7045
Fax
(478) 633-9915
NPI assigned
Jan 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN085176 GA Primary

Addresses

Primary practice location

764 Pine St
Macon, GA 31201-2107

Mailing address

764 Pine St
Macon, GA 31201-2107
Phone (478) 633-7045

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
I20111028000113 GA Practitioner - Nurse Practitioner 8527231026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600

575 1St St
Macon, GA 31201-2825
Phone (478) 633-7045

Hospital & facility affiliations

  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services of Central Georgia, Inc CurrentSince Sep 1, 2013 Accepting new patients
Macon Cardiovascular Institute Past Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients
Burton Medical Group LLC PastSince Jan 1, 2011 Accepting new patients

Locations

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

3400 Riverside Dr
Macon, GA 31210
Phone (478) 474-5600

764 Pine St
Macon, GA 31201
Phone (478) 633-1056

777 Hemlock St
#10
Macon, GA 31201
Phone (478) 633-1146

575 1st St
Macon, GA 31201
Phone (478) 742-7566

770 Pine St
Ste 140
Macon, GA 31201
Phone (478) 633-1821

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

Interoperability endpoints

  • Direct secure messaging: ygates432871@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IAHBAA

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 1

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": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1861639809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 PINE ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012107",
            "telephone_number": "478-633-7045",
            "fax_number": "478-633-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 PINE ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012107",
            "telephone_number": "478-633-7045",
            "fax_number": "478-633-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "YOLANDA",
        "middle_name": "A",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN085176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.