JERRY YUAN


Address: 11459 Johns Creek Pkwy, Suite 170, Johns Creek, GA 30097-3515
Phone: 6784170400

JERRY YUAN (NPI# 1104895762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104895762
Entity Type Individual
Full Name JERRY YUAN
Credential M.D.
Practice Address 11459 Johns Creek Pkwy
Suite 170
Johns Creek
GA 30097-3515
Mailing Address 1930 Brannan Rd
Mcdonough
GA 30253-4310
Practice Telephone 6784170400
Practice Fax Number 6784170483
Mailing Telephone 6782844040
Mailing Fax Number 6782844076
Enumeration Date 2006-03-16
Last Update Date 2020-08-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 042495 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA RAILROAD MEDICARE P00617411 01
TRICARE 30533 01
GA DEA BY4966620 01
AETNA 2361088 01
GA 000722543F 05

Other Providers JERRY YUAN

NPI Name Taxonomy Address Enumeration
1992902662 Jerry Yuan Dermatology 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 2007-06-27

Office Location

Street Address 11459 JOHNS CREEK PKWY
SUITE 170
City JOHNS CREEK
State GA
Zip Code 30097-3515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255725958 Ehi Pharmacy Solutions, LLC. Non-Pharmacy Dispensing Site 11459 Johns Creek Pkwy, Ste. 260, Johns Creek, GA 30097-3515 2015-03-20
1770920647 Village Podiatry Group, LLC Podiatrist 11459 Johns Creek Pkwy, Ste. 260, Johns Creek, GA 30097-3515 2013-05-31
1992042402 Kelly D Caulley Nurse Practitioner 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097-3515 2013-01-04
1093096869 Joy Page Nurse Practitioner 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097-3515 2011-09-07
1861794265 Georgia Urology Infertility Services Urology 11459 Johns Creek Pkwy, Suite 170, Johns Creek, GA 30097-3515 2010-11-17
1689847543 Georgia Urology Pa Urology 11459 Johns Creek Pkwy, Suite 170, Johns Creek, GA 30097-3515 2008-04-10
1184829681 Atlanta Vision Institute PC Ophthalmology 11459 Johns Creek Pkwy, Johns Creek, GA 30097 2007-06-15
1114041928 North Chattahoochee Family Physicians, LLC Family Medicine 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097-3515 2007-03-19
1407956279 M. Farooq Ashraf Ophthalmology 11459 Johns Creek Pkwy, Suite 100, Johns Creek, GA 30097-3515 2006-09-22
1740297811 Paul Devere Ellis Family Medicine 11459 Johns Creek Pkwy, Ste 250, Johns Creek, GA 30097-3517 2006-08-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659986057 Herman Medical Solutions, LLC Internal Medicine 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 2020-09-11
1649808619 Kirsty Amber Ramirez Behavior Technician 218 Premiere Pkwy #500, Duluth, GA 30097 2020-03-27
1386277820 Cristina Madalina Niculas Pharmacist Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 2020-02-12
1619514924 Opesdei Health Solutions Home Health Aide 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 2019-12-05
1700422979 Ria Alexander Nurse Practitioner 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 2019-11-22
1043867765 Mosesal Zakia White Nurse Practitioner 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 2019-08-19
1982187068 Lighthouse Clinical Counseling, LLC Counselor 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 2018-09-13
1376025643 Faithe Beanne Kimsey Counselor 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 2018-09-04
1306330303 Denise Jackson Prosthetist 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 2018-06-21
1407363328 Berkeley Van Dyke Physical Therapist 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 2017-12-30
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730283284 Vahan S Kassabian Urology 10730 Medlock Bridge Rd Ste 110, Johns Creek, GA 30097-2638 2006-09-12
1598218570 Advanced Urology Institute of Georgia Urology 10730 Medlock Bridge Rd, Suite 110, Johns Creek, GA 30097-1705 2016-07-26
1831505361 Andrew Kenneth Ostrowski Urology 10730 Medlock Bridge Rd Ste 110, Johns Creek, GA 30097-2638 2014-07-03
1265843312 Jason Lomboy Urology 10730 Medlock Bridge Rd Ste 110, Johns Creek, GA 30097-2638 2014-05-12
1861794265 Georgia Urology Infertility Services Urology 11459 Johns Creek Pkwy, Suite 170, Johns Creek, GA 30097-3515 2010-11-17
1689847543 Georgia Urology Pa Urology 11459 Johns Creek Pkwy, Suite 170, Johns Creek, GA 30097-3515 2008-04-10
1881808947 Timothy Casey Mccullough Urology 10730 Medlock Bridge Rd Ste 110, Johns Creek, GA 30097 2007-05-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942820576 Advanced Urology Institute of Georgia PC Urology 2205 Riverstone Blvd Ste 101, Canton, GA 30114-5250 2020-04-23
1093369795 Georgia Urology, Pa Urology 470 Northside Cherokee Blvd Ste 210, Canton, GA 30115-8029 2019-07-31
1790248953 Michael Oberle Urology 1120 15th St Rm Baa 8415, Augusta, GA 30912-4050 2019-04-12
1598220915 Effingham Urology, LLC Urology 613 Towne Park Dr W Ste 204, Rincon, GA 31326-5183 2019-02-11
1275008351 Center for Special Surgery LLC Urology 11660 Alpharetta Hwy Ste 720, Roswell, GA 30076-4916 2018-10-04
1295200426 Paul Edward Henson Jr. Urology 1837 Wood Valley Dr, Dalton, GA 30720-3846 2018-10-03
1477033124 Urological Health Center, PC Urology 1770 Watson Boulevard, Warner Robins, GA 31093 2018-08-21
1982182655 Advanced Urology Institute of Georgia Urology 1460 S Johnson Ferry Rd, Atlanta, GA 30319-4301 2018-08-03
1922597517 Wguasc, LLC Urology 150 Clinic Ave Ste 203, Carrollton, GA 30117-4402 2018-05-09
1841788395 Houston Physician Specialists, LLC Urology 233 N Houston Rd Ste 100, Warner Robins, GA 31093-8944 2018-04-30
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Competitor

Search similar providers

City JOHNS CREEK
Zip Code 30097

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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