JENNIFER YAM (NPI# 1154684454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154684454 |
| Entity Type | Individual |
| Full Name | JENNIFER YAM |
| Credential | MD |
| Practice Address |
684 Sixes Rd Ste 275 Holly Springs GA 30115-8723 |
| Practice Telephone | 4043650966 |
| Mailing Telephone | 4043650966 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 70796 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 684 Sixes Rd Ste 275, Holly Springs, GA 301158723 | 4043650966 |
| Street Address |
684 SIXES RD STE 275 |
| City | HOLLY SPRINGS |
| State | GA |
| Zip Code | 30115-8723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881910552 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 684 Sixes Rd Ste 275, Holly Springs, GA 30115-8721 | 2010-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699240937 | Kristen Shrum | Family Medicine | 401 Irving Parkway, Holly Springs, NC 27540 | 2018-10-12 |
| 1124460985 | Life Source, PC | Family Medicine | 1108 Kentworth Dr, Suite 704, Holly Springs, NC 27540-3325 | 2013-07-22 |
| 1861797235 | Urgent Cares of America North Carolina Inc | Family Medicine | 104 Bass Lake Rd, Suite B-2, Holly Springs, NC 27540-7620 | 2011-01-17 |
| 1184936684 | Daquesha Capre Chever | Family Medicine | 1120 Wellstar Way Ste 105, Holly Springs, GA 30114 | 2010-07-13 |
| 1265752364 | Village Family Practice of Holly Springs Pllc | Family Medicine | 351 W. Center Street, Holly Springs, NC 27540-5902 | 2010-06-11 |
| 1225185507 | Holly Springs Medical Center, Pa | Family Medicine | 500 Holly Springs Road, Suite #100, Holly Springs, NC 27540-6204 | 2007-01-05 |
| 1275632945 | Chaitany R Patel | Family Medicine | 107 Hyannis Dr, Holly Springs, NC 27540-8336 | 2006-09-21 |
| 1093823874 | Samreen Azeem | Family Medicine | 5233 Sunset Lake Rd, Holly Springs, NC 27540-3793 | 2006-08-29 |
| 1760433817 | Thomas Kenneth Warcup | Family Medicine | 208 Village Walk Dr, Suite C140, Holly Springs, NC 27540-7681 | 2006-05-13 |
| 1417913120 | Phyllis Renee Wright | Family Medicine | 153a S Market St, Holly Springs, MS 38635-3029 | 2006-04-21 |
| Find all providers in HOLLY SPRINGS | ||||
| City | HOLLY SPRINGS |
| Zip Code | 30115 |
Please comment or provide details below to improve the information on JENNIFER YAM.
| 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.