Individual provider Active NPI

Mackenzie Corley Yandle

  • Physician Assistant
  • Saluda, SC
National Provider Identifier
1952243396
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6460 Issued in SC
Practice address
102 R L Sawyer MD Dr
Saluda, SC 29138-9199
Phone
(864) 725-5355
NPI assigned
Apr 6, 2026
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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 6460 SC Primary

Addresses

Primary practice location

102 R L Sawyer MD Dr
Saluda, SC 29138-9199

Mailing address

104 Wells Ave
Greenwood, SC 29646-3837
Phone (864) 725-4673

Other practice location 1

22580 Highway 76 E Ste 100
Laurens, SC 29360-8460
Phone (864) 833-5986

Other practice location 2

102 Rockcreek Blvd
Greenwood, SC 29649-8915
Phone (864) 725-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

104 Wells Ave
Greenwood, SC 29646-3837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1952243396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WELLS AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463837",
            "telephone_number": "864-725-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 R L SAWYER MD DR",
            "city": "SALUDA",
            "state": "SC",
            "postal_code": "291389199",
            "telephone_number": "864-725-5355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22580 Highway 76 E Ste 100",
            "address_purpose": "LOCATION",
            "city": "Laurens",
            "state": "SC",
            "postal_code": "293608460",
            "country_code": "US",
            "telephone_number": "864-833-5986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Rockcreek Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296498915",
            "country_code": "US",
            "telephone_number": "864-725-5020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANDLE",
        "first_name": "MACKENZIE",
        "middle_name": "CORLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "6460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saluda, SC

Sources for this page

Verify at the official NPI Registry.