MR. KYLE T YANDLE


Address: 2878 Five Forks Trickum Rd, Ste 2a, Lawrenceville, GA 30044-5896
Phone: 6783448700

MR. KYLE T YANDLE (NPI# 1518972496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518972496
Entity Type Individual
Full Name MR. KYLE T YANDLE
Credential PA-C
Practice Address 2878 Five Forks Trickum Rd
Ste 2a
Lawrenceville
GA 30044-5896
Mailing Address 106 Broad St
Apt 1632
Loganville
GA 30052-7463
Practice Telephone 6783448700
Practice Fax Number 6783448600
Mailing Telephone 6786358130
Mailing Fax Number 6786358131
Enumeration Date 2006-07-29
Last Update Date 2016-03-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
004390 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2878 FIVE FORKS TRICKUM RD
STE 2A
City LAWRENCEVILLE
State GA
Zip Code 30044-5896

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013918721 Pushpa Lalaji Obstetrics & Gynecology 2878 Five Forks Trickum Rd, 2a, Lawrenceville, GA 30044-5896 2005-08-03
1912228941 Charlotte Amelia Ebner Family Medicine 2878 Five Forks Trickum Rd, Lawrenceville, GA 30044-5896 2010-06-14
1700058088 Georgia Sleep Centers Clinic/Center 2878 Five Forks Trickum Rd, Suite 3a, Lawrenceville, GA 30044-5896 2008-03-27
1457523722 Georgia Diagnostic Centers Clinic/Center 2878 Five Forks Trickum Rd, Suite 1a, Lawrenceville, GA 30044-5896 2008-03-27
1396895033 Bradford M Gould Family Medicine 2878 Five Forks Trickum Rd, 2a, Lawrenceville, GA 30044-5896 2007-01-12
1750478525 Richard Mcdonald Harris Physician Assistant 2878 Five Forks Trickum Rd, Lawrenceville, GA 30044-5896 2006-10-05
1629174123 Robert G Whitener Physician Assistant 2878 Five Forks Trickum Rd, Suite 2a, Lawrenceville, GA 30044-5896 2006-09-15
1952316747 Reagan Medical Center Neurological Surgery 2878 Five Forks Trickum Rd, Ste 2a, Lawrenceville, GA 30044-5896 2006-07-30
1083603922 Satish B Poddar Family Medicine 2878 Five Forks Trickum Rd, Ste 2a, Lawrenceville, GA 30044-5896 2005-10-13
1407845340 Archna Poddar Internal Medicine 2878 Five Forks Trickum Rd, Ste 2a, Lawrenceville, GA 30044-5896 2005-10-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740811892 Berry and Mitchell Hands of Caring Nurse's Aide 1180 Market Square Lane, Lawrenceville, GA 30044 2020-01-28
1457995045 Reagan Urgent Care Clinic/Center 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 2019-11-06
1194373621 Kaseem Beck Dentist Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 2019-08-28
1053965525 Imani Anderson Speech-Language Pathologist 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 2019-08-01
1598329625 Zam Zam Family Clinic LLC Clinic/Center 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 2019-04-24
1659858991 Apex Eyecare Optometrist 3694 Club Drive Unit 101, Lawrenceville, GA 30044 2018-07-19
1538657549 Georgia Comprehensive Family Clinic & Natural Health Naturopath 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 2018-04-25
1316434095 Children's Dentistry of Lithonia, LLC Dentist 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 2018-04-18
1831619337 Legacy Healthcare Services, Inc. Occupational Therapist 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 2017-06-26
1326582859 Ana Coronado Social Worker 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 2016-12-19
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811531767 Kaceyanne Lynn Cerankowski Physician Assistant 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 2019-11-04
1528579950 Julia Vlada Shumkov Physician Assistant 3100 Princeton Pike Ste D, Lawrenceville, NJ 08648-2300 2017-10-12
1851631337 Dave George Physician Assistant 1960 Riverside Parkway Ste#106, Lawrenceville, GA 30043 2013-02-21
1528375946 Gillian Robinson Physician Assistant 900 Legacy Park Dr, Apt 2333, Lawrenceville, GA 30043-8715 2010-09-07
1376705996 Jacqueline Anne Ritter Physician Assistant 123 Franklin Corner Rd Ste 216, Lawrenceville, NJ 08648 2008-06-25
1457439747 Michelle R Shoultz Physician Assistant 545 Old Norcross Rd Ste 300, Lawrenceville, GA 30045-3390 2006-11-02
1326132408 Michael Johnson Physician Assistant 289 Grayson Hwy Ste 2a, Lawrenceville, GA 30046-5726 2006-10-03
1689626657 Nocollege A Pupuma Physician Assistant 1431 Riverside Pkwy, Suite B, Lawrenceville, GA 30043-5946 2006-05-17
1073576716 Jennifer T. Herbstritt Physician Assistant 2500 Brunswick Pike, Suite 101a, Professional Healthcare Services of Lawrenceville, Lawrenceville, NJ 08648-4134 2006-04-11
1285260745 Elizabeth Joy Elder Sandy Physician Assistant 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046-8762 2020-03-17
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Competitor

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City LAWRENCEVILLE
Zip Code 30044

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Dataset Information

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.

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