Individual provider Active NPI

Debra C Yates, P.T.

  • Physical Therapist
  • Toccoa, GA
National Provider Identifier
1922294180
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT001873 Issued in GA
Practice address
22 Hayes St
Toccoa, GA 30577-2696
Phone
(706) 886-3883
Fax
(706) 886-3812
NPI assigned
Sep 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT001873 GA Primary

Addresses

Primary practice location

22 Hayes St
Toccoa, GA 30577-2696

Mailing address

22 Hayes St
PO Box 399
Toccoa, GA 30577-2696
Phone (706) 886-3883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090205000670 GA Practitioner - Physical Therapist in Private Practice 2860301306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical College of Georgia School of Medicine, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Yates and Seib, Inc.Group PAC ID 9133038672, 3 clinicians

Practice addresses (Care Compare)

22 Hayes St
Toccoa, GA 30577-2696
Phone (706) 886-3883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT001873GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Toccoa Clinic Medical Associates, LLP Current Accepting new patients
Yates & Seib, Inc. CurrentSince Dec 29, 2008 Accepting new patients

Locations

12192 Augusta Rd
Lavonia, GA 30553
Phone (706) 356-1072

22 Hayes St
Toccoa, GA 30577
Phone (706) 886-3883

Organizations & group practices 2

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": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1922294180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HAYES ST",
            "address_2": "PO BOX 399",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305772696",
            "telephone_number": "706-886-3883",
            "fax_number": "706-886-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HAYES ST",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305772696",
            "telephone_number": "706-886-3883",
            "fax_number": "706-886-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "DEBRA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT001873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toccoa, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.