ASA YANCY HEALTH CENTER NPI 1447264163

NPI Information

  • NPI: 1447264163
  • Provider Name: ASA YANCY HEALTH CENTER
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Other Name: GRADY HEALTH SYSTEM
  • CLIA Number: 11D1001423
  • Address: 1247 DONALD LEE HOLLOWELL PKWY NW
    ATLANTA, GA
    ZIP 30318
  • Phone: (404) 616-2265

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NPI Details

ASA YANCY HEALTH CENTER is a clinic center in Atlanta, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ASA YANCY HEALTH CENTER NPI is 1447264163. The provider is registered as an organization entity type.
The provider Other Name Is Grady Health System.

The provider's business location address is:

1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA
ZIP 30318-657
Phone: (404) 616-2265
Fax: (404) 881-0622

The provider's authorized official is Carla Mae Schissel .
The authorized official title is Nurse Practitioner and has the following contact phone number (404) 616-2265.

The CLIA number assigned to this NPI record is 11D1001423 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 10/31/2007.

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
1261Q00000XClinic/CenterR042007GEORGIAYes

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: 3/30/2025

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