Individual provider Active NPI

Yanoula Maria Georgiadis

  • Physician Assistant
  • Greenwood, IN
National Provider Identifier
1922792902
Registry record updated Oct 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
555 E County Line Rd Ste 202
Greenwood, IN 46143-1063
Phone
(317) 396-1406
Fax
(317) 396-1419
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

555 E County Line Rd Ste 202
Greenwood, IN 46143-1063

Mailing address

555 E County Line Rd Ste 202
Greenwood, IN 46143-1063
Phone (317) 396-1406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20251119002614 IN Practitioner - Physician Assistant 0143711929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

555 E County Line Rd
Suite 202
Greenwood, IN 46143-1063
Phone (317) 396-1300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indianapolis Neurosurgical Group PC Physician Assistant CurrentSince Oct 28, 2025 Accepting new patients
Major Hospital Past Accepting new patients

Locations

13345 Illinois St
Carmel, IN 46032
Phone (317) 396-1328

555 E County Line Rd
Ste 202
Greenwood, IN 46143
Phone (317) 396-1406

1201 Hadley Rd
Mooresville, IN 46158
Phone (317) 783-8148

Interoperability endpoints

  • Direct secure messaging: yanoula.georgiadis.p1@direct.goodmancampbell.nextgenshare.com

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.

Hospital & facility affiliations 3

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": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760832000000",
    "number": "1922792902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E COUNTY LINE RD STE 202",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431063",
            "telephone_number": "317-396-1406",
            "fax_number": "317-396-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E COUNTY LINE RD STE 202",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431063",
            "telephone_number": "317-396-1406",
            "fax_number": "317-396-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGIADIS",
        "first_name": "YANOULA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2025-10-19",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.