YHANEEK N DOUGLAS-MATTIS NPI 1033750781

NPI Information

NPI: 1033750781
Provider Name: YHANEEK N DOUGLAS-MATTIS
Classification: Nurse Practitioner - 363LC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Organization: GRADY MEMORIAL HOSPITAL CORPORATION

PECOS Registration: Yes

Address:
80 JESSE HILL JR DR SE
ATLANTA, GA
ZIP 30303
Phone: (404) 616-4626
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Yhaneek N Douglas-mattis is a critical care medicine nurse practitioner in Atlanta, GA with 5 years of experience. Yhaneek N Douglas-mattis NPI is 1033750781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

80 JESSE HILL JR DR SE
ATLANTA, GA
ZIP 30303-031
Phone: (404) 616-4626

The NPI 1033750781 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2019 and was last updated on 10/3/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LC0200X	Nurse Practitioner	Critical Care Medicine	RN240093	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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