TANAYA YIDIN (NPI# 1427578921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427578921 |
| Entity Type | Individual |
| Full Name | TANAYA YIDIN |
| Credential | PA-C |
| Practice Address |
285 Boulevard Ne Ste 415 Atlanta GA 30312-4210 |
| Practice Telephone | 4042654400 |
| Practice Fax Number | 4042654452 |
| Mailing Telephone | 4042654400 |
| Mailing Fax Number | 4042654452 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2020-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9546 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | PA TEMP LICENSE | 305597 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 708101685 | (225) 769-2200 | 2257682185 |
| Street Address |
285 BOULEVARD NE STE 415 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312-4210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902894736 | Paul Kevin King | Neurological Surgery | 285 Boulevard Ne Ste 415, Atlanta, GA 30312-4210 | 2005-10-06 |
| 1386118123 | Kari Suzanne Hatfield | Nurse Practitioner | 285 Boulevard Ne Ste 415, Atlanta, GA 30312-4210 | 2019-01-15 |
| 1164869756 | Katherine Mills Lanning | Psychiatry & Neurology | 285 Boulevard Ne Ste 415, Atlanta, GA 30312-4210 | 2013-05-23 |
| 1881981017 | Leigh Ann Beasley | Physician Assistant | 285 Boulevard Ne Ste 415, Atlanta, GA 30312 | 2011-07-08 |
| 1548552011 | Muthu Deepak Vignesh Bhaskaran | Psychiatry & Neurology | 285 Boulevard Ne Ste 415, Atlanta, GA 30312-4210 | 2011-05-03 |
| 1891092383 | Yea-pyng Luo | Physician Assistant | 285 Boulevard Ne Ste 415, Atlanta, GA 30312 | 2011-02-17 |
| 1265745491 | Michael Vincent Santotome Mendoza | Psychiatry & Neurology | 285 Boulevard Ne Ste 415, Atlanta, GA 30312-4210 | 2010-07-16 |
| 1932361680 | Basheer Ahmed Shakir | Neurological Surgery | 285 Boulevard Ne Ste 415, Atlanta, GA 30312 | 2008-06-25 |
| 1982659371 | Arthur Abraham Grigorian | Specialist | 285 Boulevard Ne Ste 415, Atlanta, GA 30312 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1104433689 | Alexander Hartley Sprague | Physician Assistant | 244 13th St Ne Apt 208, Atlanta, GA 30309-3656 | 2020-09-28 |
| 1972117919 | Gregory Zimmerman | Physician Assistant | 2669 Fleur De Lis Pl, Atlanta, GA 30360-1409 | 2020-09-08 |
| 1083227821 | Jessica Haley Senft | Physician Assistant | 4274 Olde Mill Ln Ne, Atlanta, GA 30342-3400 | 2020-08-30 |
| 1801405758 | Philip Sangster | Physician Assistant | 3485 Greystone Cir, Atlanta, GA 30341-5854 | 2020-07-27 |
| 1114544525 | Nicole Warner | Physician Assistant | 1100 Faith Ave Se, Atlanta, GA 30316-1504 | 2020-07-01 |
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1972125557 | Karen Charisse Forbes | Physician Assistant | 1600 Clifton Rd Ne # H16-1, Atlanta, GA 30329-4018 | 2020-05-17 |
| 1588290316 | Julie Teresa Lovelly | Physician Assistant | 1220 Caroline St Ne Ste A-230, Atlanta, GA 30307-2749 | 2020-03-12 |
| 1104463645 | Hannah Elyse Galvan | Physician Assistant | 550 Peachtree St Ne Bldg Rm3245a, Atlanta, GA 30308-2247 | 2019-12-03 |
| Find all providers in ATLANTA | ||||
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| 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.