Jerry Yuan (NPI# 1104895762, PAC ID# 8325119985) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1104895762 |
| PAC ID by PECOS | 8325119985 |
| Professional Enrollment ID | I20080625000564 |
| Full Name | Jerry Yuan |
| Organization Legal Name | GEORGIA UROLOGY, PA |
| Address |
790 Church Nest Suite 430 Marietta GA 30060-7290 |
| Phone Number | 7704299100 |
| Gender | M |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1986 |
| 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 |
|---|---|
| 110005 | NORTHSIDE HOSPITAL FORSYTH |
| 110161 | NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4450 Calibre Nwxing, Acworth, GA 30101-4103 | 7706071893 | UROLOGICAL PROFESSIONAL SERVICES, LLC |
| 2685 Milscott Dr, Decatur, GA 30033-5906 | 4042923727 | UROLOGICAL PROFESSIONAL SERVICES, LLC |
| 220 J L White Dr, Suite 160, Jasper, GA 30143-4895 | 7066924384 | UROLOGICAL PROFESSIONAL SERVICES, LLC |
| 11459 Johns Creek Pkwy, Suite 170, Johns Creek, GA 30097-3516 | 6784170400 | UROLOGICAL PROFESSIONAL SERVICES, LLC |
| 790 Church Nest, Suite 430, Marietta, GA 30060-7290 | 7704299100 | GEORGIA UROLOGY, PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| 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 |
790 CHURCH NEST SUITE 430 |
| City | MARIETTA |
| State | GA |
| Zip | 30060-7290 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edwin A Smith | Urology | Georgia Urology, Pa | 790 Church Nest, Suite 430, Marietta, GA 30060-7290 |
| Shaya Taghechian | Urology | Georgia Urology, Pa | 790 Church Nest, Suite 430, Marietta, GA 30060-7290 |
| Robert Joel Ollins | Internal Medicine | Kennestone Internal Medicine Associates PC | 790 Church Nest, Suite 325, Marietta, GA 30060-8902 |
| Elaine G Khatod | Diagnostic Radiology | Quantum Radiology PC | 790 Church Nest, Suite 400, Marietta, GA 30060-8957 |
| Hannah Beaman | Occupational Therapy | Georgia Hand Shoulder and Elbow, P.C. | 790 Church Nest, Suite 500, Marietta, GA 30060-8957 |
| Robert L Howell | Plastic and Reconstructive Surgery | Georgia Hand Shoulder and Elbow, P.C. | 790 Church Nest, Suite 500, Marietta, GA 30060-8957 |
| David Lahasky | Internal Medicine | Kennestone Internal Medicine Associates PC | 790 Church Nest, Suite 325, Marietta, GA 30060-8902 |
| Joel A Rosenfeld | Urology | Georgia Urology, Pa | 790 Church Nest, Suite 430, Marietta, GA 30060-7290 |
| Arthur L Mulick | Diagnostic Radiology | Quantum Radiology PC | 790 Church Nest, Suite 400, Marietta, GA 30060-8957 |
| Daniel E Acker | Occupational Therapy | Georgia Hand Shoulder and Elbow, P.C. | 790 Church Nest, Suite 500, Marietta, GA 30060-8957 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerwanda Lavette Johnson | Nurse Practitioner | Wellstar Medical Group, LLC | 2130 Anderson Mill Rd, Marietta, GA 30060 |
| Connie Dessonville Hill | Psychologist, Clinical | 125 Church Nest, Suite 210, Marietta, GA 30060 | |
| William L. Cousins | Internal Medicine | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Ansley Carnes | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Kimberly Malejko | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Allyson J Underwood | Nurse Practitioner | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Tonette Robinson | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Amanda Denise Parkinson | Clinical Social Worker | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Callie B Dunn | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Candace S Hunter | Clinical Psychologist | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Find all physicians in zip 30060 | |||
| City | MARIETTA |
| Zip Code | 30060 |
| Specialty | UROLOGY |
| City + Specialty | MARIETTA + UROLOGY |
Please comment or provide details below to improve the information on Jerry Yuan.
| 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.