Individual provider Active NPI

Ravi David Yarid, D.O.

  • Family Medicine Physician
  • Suwanee, GA
National Provider Identifier
1902005762
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
89309 Issued in GA
Practice address
2637 Peachtree Pkwy
Suwanee, GA 30024-1048
Phone
(314) 898-6188
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 5101016264 MI
Family Medicine Physician 207Q00000X 5101016264 MI
Student in an Organized Health Care Education/Training Program 390200000X 2013 ME
Family Medicine Physician 207Q00000X 89309 GA Primary

Addresses

Primary practice location

2637 Peachtree Pkwy
Suwanee, GA 30024-1048

Mailing address

725 Mount Oglethorpe TRL
Johns Creek, GA 30022-7105
Phone (207) 907-9695

Other identifiers 2

IdentifierTypeStateIssuer
085300025OtherMIBCN
085300025OtherMIBCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211021000452 GA Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 1759473812

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
West Virginia School of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1825 Hwy 34 E
Suite 1200
Newnan, GA 30265-6416

725 Mount Oglethorpe TRL
Johns Creek, GA 30022-7105

PO Box
New York, NY 10087

Merit-based Incentive Payment System (MIPS)

Final score
79.67 of 100Reported as group
Quality
69.85
Promoting interoperability
54
Improvement activities
40
Cost
75.17

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia College of Osteopathic Medicine Neuromusculoskeletal Medicine & Omm CurrentSince Sep 1, 2021 Accepting new patients
Wellstreet of Georgia PC CurrentSince Sep 24, 2023 Accepting new patients
LDK III Holdings, LLC Family Medicine Past Accepting new patients
Abode Integrated Medicine,PLLC Neuromusculoskeletal Medicine & Omm Past Accepting new patients
Karen Lindower DO PLLC Family Medicine Past Accepting new patients

Locations

2637 Peachtree Pkwy
Suwanee, GA 30024
Phone (314) 898-6188

625 Old Peachtree Rd NW
Ste 104
Suwanee, GA 30024
Phone (678) 225-7485

Interoperability endpoints

  • Direct secure messaging: ravi.yarid.p1@direct.pcom.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1902005762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 MOUNT OGLETHORPE TRL",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300227105",
            "telephone_number": "207-907-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 PEACHTREE PKWY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241048",
            "telephone_number": "314-898-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARID",
        "first_name": "RAVI",
        "middle_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "5101016264",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101016264",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "ME",
            "license": "2013",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "89309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "085300025",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "085300025",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.