Kristie Yancy Dyson (NPI# 1790985653, PAC ID# 5698943793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1790985653 |
| PAC ID by PECOS | 5698943793 |
| Professional Enrollment ID | I20110715000225 |
| Full Name | Kristie Yancy Dyson |
| Organization Legal Name | SOUTHERN CRESCENT WOMEN'S HEALTHCARE |
| Address |
1279 Hwy 54 Suite 220 Fayetteville GA 30214-4552 |
| Phone Number | 7709912200 |
| Gender | F |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4688565716 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110229 | PIEDMONT NEWNAN HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 | 7709912200 | SOUTHERN CRESCENT WOMEN'S HEALTHCARE |
| 775 Poplar Rd, Suite 200, Newnan, GA 30265-1618 | 7709912200 | SOUTHERN CRESCENT WOMEN'S HEALTHCARE |
| Organization Legal Name | SOUTHERN CRESCENT WOMEN'S HEALTHCARE |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanya Beckford | Obstetrics/gynecology | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| Crystal O Slade | Obstetrics/gynecology | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| Benita L Bonser | Obstetrics/gynecology | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| Edwin Bello | Obstetrics/gynecology | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| William D Martin | Obstetrics/gynecology | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| Kasey Kohring | Nurse Practitioner | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| Deborah K Shepard | Obstetrics/gynecology | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| Elizabeth W Killebrew | Obstetrics/gynecology | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| Vanessa Antoine | Obstetrics/gynecology | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| Michlene Broadney | Obstetrics/gynecology | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| Street Address |
1279 HWY 54 SUITE 220 |
| City | FAYETTEVILLE |
| State | GA |
| Zip | 30214-4552 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanya Beckford | Obstetrics/gynecology | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| Crystal O Slade | Obstetrics/gynecology | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| Benita L Bonser | Obstetrics/gynecology | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| Edwin Bello | Obstetrics/gynecology | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| William D Martin | Obstetrics/gynecology | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| Kasey Kohring | Nurse Practitioner | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| Deborah K Shepard | Obstetrics/gynecology | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| Elizabeth W Killebrew | Obstetrics/gynecology | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| Vanessa Antoine | Obstetrics/gynecology | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| Michlene Broadney | Obstetrics/gynecology | Southern Crescent Women's Healthcare | 1279 Hwy 54, Suite 220, Fayetteville, GA 30214-4552 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Massey | Nurse Practitioner | Piedmont Providers LLC | 1279 Hwy 54 W, Suite 100, Fayetteville, GA 30214 |
| Connie T Dupre | Internal Medicine | Piedmont Medical Care Corporation | 1267 W Hwy 54, Suite 5200, Fayetteville, GA 30214 |
| Gregory Valentine | Family Medicine | 874 Lanier W Ave, Suite 210, Fayetteville, GA 30214 | |
| Byron F Harper | Internal Medicine | 106 Governors Square Prkwy, Fayetteville, GA 30214 | |
| Kayona Jones Moreland | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Paul Constantine Karagiannis | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Kevin Yang | Urology | Georgia Urology, Pa | 1336 Hwy 54 W, Fayetteville, GA 30214 |
| Angela R Parker | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Kavita Perumal Krishnasamy | Cardiac Electrophysiology | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Rani Shah | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Find all physicians in zip 30214 | |||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | FAYETTEVILLE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Kristie Yancy Dyson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.