YHANEEK N DOUGLAS-MATTIS (NPI# 1033750781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033750781 |
| Entity Type | Individual |
| Full Name | YHANEEK N DOUGLAS-MATTIS |
| Practice Address |
80 Jesse Hill Jr Dr Se Atlanta GA 30303-3031 |
| Mailing Address |
205 Henley Spgs Mcdonough GA 30252-4080 |
| Practice Telephone | 4046164626 |
| Mailing Telephone | 4045364226 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
RN240093 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
80 JESSE HILL JR DR SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301830 | Adefisayo Oduwole | Internal Medicine | 80 Jesse Hill Jr Dr Se, Ste 2e, Atlanta, GA 30303-3031 | 2005-07-21 |
| 1598365421 | Warren W Jarrett | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-10-29 |
| 1245830579 | Abigail Walker Murray | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2020-10-27 |
| 1649887118 | Christie Sams | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-28 |
| 1013523828 | Alicia Wong | Counselor | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-17 |
| 1538775473 | Nebiyu D Muleta | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-16 |
| 1952915431 | Rikita D Patel | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2020-09-02 |
| 1639782832 | Chaltu Raba | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-08-26 |
| 1790397172 | Ashley A Bostic | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-08-18 |
| 1174134050 | Kayla Renee Brown | Physician Assistant | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2020-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887118 | Christie Sams | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-28 |
| 1275164436 | Jordan Tyler Hill | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-01-27 |
| 1174176382 | Acenith Garvey | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2019-07-17 |
| 1629538509 | Chika Ngozi Ezenekwe | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2019-03-25 |
| 1891277612 | Jerian Forbes | Nurse Practitioner | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2018-08-29 |
| 1093208878 | Chelsea Belle Miller | Nurse Practitioner | 550 Peachtree St Ne Bldg 3245a, Atlanta, GA 30308-2247 | 2018-06-07 |
| 1497295083 | Kristina Harpe | Nurse Practitioner | 550 Peachtree St Ne, Davis Fischer Building, Office 3245a, Atlanta, GA 30308-2212 | 2017-03-01 |
| 1972964567 | Paula Nail Lay | Nurse Practitioner | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2016-03-10 |
| 1700256575 | Alison Michelle Kelley | Nurse Practitioner | 550 Peachtree St Ne, Davis Fischer Building, Atlanta, GA 30308-2208 | 2015-10-05 |
| 1265809883 | Sage Lauren Elmore | Nurse Practitioner | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2015-08-31 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.