Individual provider Active NPI

Hemant K. Yagnick, MD

  • Pain Medicine (Anesthesiology) Physician
  • Evans, GA
National Provider Identifier
1932205879
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
055321 Issued in GA
Practice address
404 Town Park Boulevard
Suite 101
Evans, GA 30809
Phone
(706) 922-7246
NPI assigned
Sep 16, 2006
Last updated
Jul 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 055321 GA Primary

Addresses

Primary practice location

404 Town Park Boulevard
Suite 101
Evans, GA 30809

Mailing address

404 Town Park Boulevard
Suite 101
Evans, GA 30809
Phone (706) 922-7246

Other identifiers 1

IdentifierTypeStateIssuer
558 441 890 BMedicaidGA

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
I20040916000637 GA Practitioner - AnesthesiologyPractitioner - Pain Management 0749266138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Pain Management, P.C.Group PAC ID 0941215032, 3 clinicians

Practice addresses (Care Compare)

404 Town Park Blvd
Suite 101
Evans, GA 30809-3491
Phone (706) 922-7246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055321GAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Procedure Center, LLC CurrentSince Jan 28, 2022 Accepting new patients
Advanced Pain Management, P.C. Pain Medicine CurrentSince Jan 29, 2006 Accepting new patients
Marion General Hospital Past Accepting new patients
Walton Rehabiltation Hospital Past Accepting new patients

Locations

1355 Independence Dr
Augusta, GA 30901
Phone (706) 724-7746

404 Town Park Blvd
Evans, GA 30809
Phone (706) 922-7246

404 Town Park Blvd
Ste 101
Evans, GA 30809
Phone (706) 364-5065

404 Town Park Blvd
Ste 102
Evans, GA 30809
Phone (706) 922-7246

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1932205879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 TOWN PARK BOULEVARD",
            "address_2": "SUITE 101",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "706-922-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 TOWN PARK BOULEVARD",
            "address_2": "SUITE 101",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "706-922-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGNICK",
        "first_name": "HEMANT",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "055321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "558 441 890 B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.