BEVERLY RANDOLPH YANCEY APRN NPI 1568052454

NPI Information

  • NPI: 1568052454
  • Provider Name: BEVERLY RANDOLPH YANCEY, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 180 WATER OAK DR
    CEDARTOWN, GA
    ZIP 30125
  • Phone: (770) 748-0030

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NPI Details

Beverly Randolph Yancey, APRN is a psychiatric/mental health nurse practitioner in Cedartown, GA. Beverly Randolph Yancey, APRN NPI is 1568052454. 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:

180 WATER OAK DR
CEDARTOWN, GA
ZIP 30125-095
Phone: (770) 748-0030
Fax: (770) 749-4418

The enumeration date for this NPI number is 1/25/2021 and was last updated on 1/25/2021.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthGAA-NP000028GEORGIAYes

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: 11/21/2025

NPI Synchronization or Removal

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