Kevin Yang (NPI# 1336402924, PAC ID# 5991051864) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1336402924 |
| PAC ID by PECOS | 5991051864 |
| Professional Enrollment ID | I20190610002081 |
| Full Name | Kevin Yang |
| Organization Legal Name | GEORGIA UROLOGY, PA |
| Address |
1336 Hwy 54 W Fayetteville GA 30214 |
| Phone Number | 7704609777 |
| Gender | M |
| Medical School | TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 8921094376 |
| Number of Group Practice Members | 57 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110215 | PIEDMONT FAYETTE HOSPITAL |
| 110161 | NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1336 Hwy 54 W, Fayetteville, GA 30214 | 7704609777 | GEORGIA UROLOGY, PA |
| Organization Legal Name | GEORGIA UROLOGY, PA |
| Physicians | 57 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley Warren Ludwig | Urology | Georgia Urology, Pa | 145 Riverstone Ter, Suite 101, Canton, GA 30114-5327 |
| Carrie Collin | Nurse Practitioner | Georgia Urology, Pa | 5730 Glenridge Dr, Suite 200, Atlanta, GA 30328-5579 |
| Julia Caroline Branch | Nurse Practitioner | Georgia Urology, Pa | 1800 Northside Forsyth Dr, Suite 370, Cumming, GA 30041-8447 |
| Edwin A Smith | Urology | Georgia Urology, Pa | 790 Church Nest, Suite 430, Marietta, GA 30060-7290 |
| Francis Peter Nicholson | Urology | Georgia Urology, Pa | 720 Old Snellville Hwy 100, Lawrenceville, GA 30044-6216 |
| A Paul Sherlag | Urology | Georgia Urology, Pa | 1670 Scott Blvd, Suite 204k, Decatur, GA 30033-5645 |
| Edward Stark | Urology | Georgia Urology, Pa | 2685 Milscott Dr, Decatur, GA 30033-5906 |
| Warren Todd Oberle | Urology | Georgia Urology, Pa | 1700 Hospital Dr, Suite 201, Austell, GA 30106 |
| Brandi Knight | Nurse Practitioner | Georgia Urology, Pa | 970 Joe Frank Harris Sepkwy, Suite 260, Cartersville, GA 30120-2161 |
| Shaya Taghechian | Urology | Georgia Urology, Pa | 790 Church Nest, Suite 430, Marietta, GA 30060-7290 |
| Street Address |
1336 HWY 54 W |
| City | FAYETTEVILLE |
| State | GA |
| Zip | 30214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott A Kelly | Physical Medicine and Rehabilitation | Resurgens, PC | 1336 Hwy 54 W, Fayetteville, GA 30214-4535 |
| Gary Wayne Stewart | Orthopedic Surgery | Resurgens, PC | 1336 Hwy 54 W, Fayetteville, GA 30214-4535 |
| Arthur L Raines | Orthopedic Surgery | Resurgens, PC | 1336 Hwy 54 W, Fayetteville, GA 30214-4535 |
| Peter S Harvey | Orthopedic Surgery | Resurgens, PC | 1336 Hwy 54 W, Fayetteville, GA 30214-4535 |
| Jenkins B Bush | Orthopedic Surgery | Resurgens, PC | 1336 Hwy 54 W, Fayetteville, GA 30214-4535 |
| Mark J Albritton | Orthopedic Surgery | Resurgens, PC | 1336 Hwy 54 W, Fayetteville, GA 30214-4535 |
| Kristen Nicole Hammond | Physician Assistant | Resurgens, PC | 1336 Hwy 54 W, Fayetteville, GA 30214-4535 |
| David A Goodman | Orthopedic Surgery | Resurgens, PC | 1336 Hwy 54 W, Fayetteville, GA 30214-4535 |
| Mark S. Mcbride | Hand Surgery | Resurgens, PC | 1336 Hwy 54 W, Fayetteville, GA 30214-4535 |
| Spencer O Rowland | Physician Assistant | Resurgens, PC | 1336 Hwy 54 W, Fayetteville, GA 30214-4535 |
| 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 |
| 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 |
| Robert V Dimeglio | Urology | 1336 Hwy 54 W, Building 200, Fayetteville, GA 30214 | |
| Find all physicians in zip 30214 | |||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
| Specialty | UROLOGY |
| City + Specialty | FAYETTEVILLE + UROLOGY |
Please comment or provide details below to improve the information on Kevin Yang.
| 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.