Individual provider Active NPI

Ines Karempelis, PA-C

  • Dermatology Physician
  • Atlanta, GA
National Provider Identifier
1912487190
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
9878 Issued in GA
Practice address
5555 Peachtree Dunwoody Rd NE Suite 190
Atlanta, GA 30342
Phone
(404) 256-4457
Fax
(404) 256-1145
NPI assigned
Aug 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9878 GA
Medical Physician Assistant 363AM0700X PA9111382 FL
Dermatology Physician 207N00000X 9878 GA Primary

Addresses

Primary practice location

5555 Peachtree Dunwoody Rd NE Suite 190
Atlanta, GA 30342

Mailing address

5555 Peachtree Dunwoody Rd NE
Suite 190
Atlanta, GA 30342
Phone (404) 256-4457

Other names 1

  • Ms. Ines Yasback Former name

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
I20200919000137 GA Practitioner - Physician Assistant 9931453404 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9111382FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Atlanta CurrentSince Jul 23, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2018 Accepting new patients
The Emory Clinic Inc CurrentSince Aug 17, 2020 Accepting new patients
Sentry Anesthesia Management, LLC PastSince Jul 23, 2023 Accepting new patients

Locations

1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

5555 Ptree Dunwoody Rd NE
Ste 190
Sandy Springs, GA 30342
Phone (404) 256-4457

Interoperability endpoints

  • Direct secure messaging: iyasback58468@direct.emory.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1912487190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 190",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-256-4457",
            "fax_number": "404-256-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD NE SUITE 190",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-256-4457",
            "fax_number": "404-256-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAREMPELIS",
        "first_name": "INES",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9878",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9111382",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "9878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INES",
            "last_name": "YASBACK",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.