Vicki L Yates (NPI# 1124488556, PAC ID# 8820387236) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED NURSE MIDWIFE (CNM).
| Nation Provider ID (NPI) | 1124488556 |
| PAC ID by PECOS | 8820387236 |
| Professional Enrollment ID | I20160525000041 |
| Full Name | Vicki L Yates |
| Organization Legal Name | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| Address |
6875 Douglas Blvd Suite A Douglasville GA 30135-7155 |
| Phone Number | 4043796148 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | CERTIFIED NURSE MIDWIFE (CNM) |
| Group Practice PAC ID | 6204829013 |
| Number of Group Practice Members | 600 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 4045054012 | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| 6875 Douglas Blvd, Suite A, Douglasville, GA 30135-7155 | 4043796148 | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| Organization Legal Name | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| Physicians | 720 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sapna Ashok Patel | Otolaryngology | The Southeast Permanente Medical Group | 2470 Mount Zion Pkwy, Bldg 200, Jonesboro, GA 30236-2500 |
| Gloria Eberechukwu Okoye | Nurse Practitioner | The Southeast Permanente Medical Group | 3640 Tramore Pointe Pkwy, Austell, GA 30106-6825 |
| Joan Mary Gopin | Hospitalist | The Southeast Permanente Medical Group | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 |
| Sandra Nicole Jackson-dent | Family Medicine | The Southeast Permanente Medical Group | 2240 Fountain Dr, Snellville, GA 30078-2919 |
| Emily K Deschler | Ophthalmology | The Southeast Permanente Medical Group | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 |
| Lisa Michaels | Podiatry | The Southeast Permanente Medical Group | 200 Crescent Ctr Pkwy, Tucker, GA 30084-7047 |
| Seema Panduranga Kini | Dermatology | The Southeast Permanente Medical Group | 1435 Broadmoor Blvd, Buford, GA 30518-5408 |
| Modesta Tako | Family Medicine | The Southeast Permanente Medical Group | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 |
| Samir Patel | Internal Medicine | The Southeast Permanente Medical Group | 205 Newnan Crossing Byp, Newnan, GA 30265-1063 |
| Carolyn Commodore-turner | Clinical Social Worker | The Southeast Permanente Medical Group | 1745 Peachtree St Ne, Suite U, Atlanta, GA 30309-2479 |
| Street Address |
6875 DOUGLAS BLVD SUITE A |
| City | DOUGLASVILLE |
| State | GA |
| Zip | 30135-7155 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robyn Allen Petagrew | Internal Medicine | The Southeast Permanente Medical Group | 6875 Douglas Blvd, Suite A, Douglasville, GA 30135-7155 |
| Hope H Mcdaniel-desarmes | Family Medicine | The Southeast Permanente Medical Group | 6875 Douglas Blvd, Suite A, Douglasville, GA 30135-7155 |
| Patrice Thorpe-jamison | Internal Medicine | The Southeast Permanente Medical Group | 6875 Douglas Blvd, Suite A, Douglasville, GA 30135-7155 |
| Tamar Yolanda Jackson | Internal Medicine | The Southeast Permanente Medical Group | 6875 Douglas Blvd, Suite A, Douglasville, GA 30135-7155 |
| Theresa Perry Hudson | Family Medicine | The Southeast Permanente Medical Group | 6875 Douglas Blvd, Suite A, Douglasville, GA 30135-7155 |
| Candace F Vaughn | Family Practice | The Southeast Permanente Medical Group | 6875 Douglas Blvd, Suite A, Douglasville, GA 30135-7155 |
| Natasha Nicol Houston | Physician Assistant | The Southeast Permanente Medical Group | 6875 Douglas Blvd, Suite A, Douglasville, GA 30135-7155 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alvin F Cowans | Podiatry | Georgia Blue Foot and Ankle,llc | 3387 Hwy 5, Suite H, Douglasville, GA 30135 |
| Malissia F Hewett-mcneil | Chiropractic | 6942 Hwy 78 W, Douglasville, GA 30135 | |
| Kathryn Lewis Padgett | Chiropractic | 3680 Kings Hwy, Douglasville, GA 30135 | |
| Danielle Green-watson | Podiatry | Georgia Blue Foot and Ankle,llc | 3387 Hwy 5, Suite H, Douglasville, GA 30135 |
| Caroline C Anaele | Nurse Practitioner | 2121 Fairburn Rd B, Douglasville, GA 30135-1029 | |
| Dingane Baruti | Family Medicine | 2022 Fairburn Rd D, Douglasville, GA 30135-1062 | |
| Jaswant S Chaddha | Obstetrics/gynecology | Privia Medical Group of Georgia LLC | 2022 Fairburn Rd, Suite D, Douglasville, GA 30135-1062 |
| Latoya Katrese Buford | Nurse Practitioner | Privia Medical Group of Georgia LLC | 2022 Fairburn Rd, Suite D, Douglasville, GA 30135-1062 |
| Christopher J Baggett | Chiropractic | 2080 Fairburn Rd, Suite F, Douglasville, GA 30135-1064 | |
| Heather R Camp | Chiropractic | Heather Robinson Camp LLC/camp Chiropractic | 2080 Fairburn Rd F, Douglasville, GA 30135-1064 |
| Find all physicians in zip 30135 | |||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
| Specialty | CERTIFIED NURSE MIDWIFE (CNM) |
| City + Specialty | DOUGLASVILLE + CERTIFIED NURSE MIDWIFE (CNM) |
Please comment or provide details below to improve the information on Vicki L Yates.
| 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.