SKYLAR YEAROUS


Address: 1430 John Wesley Gilbert Drive, College of Dental Medicine Pedodontics - Gc 2116, Augusta, GA 30901
Phone: 7067219073

SKYLAR YEAROUS (NPI# 1508328824) 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) 1508328824
Entity Type Individual
Full Name SKYLAR YEAROUS
Practice Address 1430 John Wesley Gilbert Drive
College of Dental Medicine Pedodontics - Gc 2116
Augusta
GA 30901
Practice Telephone 7067219073
Mailing Telephone 7067219073
Enumeration Date 2019-04-04
Last Update Date 2019-07-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program DN015931 GA Student, Health Care

Office Location

Street Address 1430 JOHN WESLEY GILBERT DRIVE
COLLEGE OF DENTAL MEDICINE PEDODONTICS - GC 2116
City AUGUSTA
State GA
Zip Code 30901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811978927 Andrew Robert Kious Dentist 1430 John Wesley Gilbert Drive, Ghsu College of Dental Medicine, Augusta, GA 30912 2005-11-07
1801421268 Cassandra Nicole Liston Student in an Organized Health Care Education/Training Program 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 2020-03-05
1710511738 Amara Altman Student in an Organized Health Care Education/Training Program 1430 John Wesley Gilbert Drive, Dental College of Georgia, Augusta, GA 30909 2020-02-28
1316571318 Macy Malcom Copelan Student in an Organized Health Care Education/Training Program 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 2020-02-27
1447884770 Shane Mitchell Turgeon Student in an Organized Health Care Education/Training Program 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 2020-02-25
1295368918 Jackie Janzen Dentist 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 2020-02-20
1275195984 Anh Nguyen Dentist 1430 John Wesley Gilbert Drive, Augusta, GA 30912-5042 2019-07-02
1659832657 Mahmoud Elashiry Student in an Organized Health Care Education/Training Program 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 2019-03-31
1942761267 Eric Hatten Student in an Organized Health Care Education/Training Program 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 2019-03-28
1063973477 Fatin Jweinat Student in an Organized Health Care Education/Training Program 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 2019-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477019925 Courtney Erin Fairchild Physician Assistant 1101 15th Street, Pa-224, Augusta, GA 30901 2019-02-20
1699263921 Walgreen Co Durable Medical Equipment & Medical Supplies 1022 Walton Way Spc C, Augusta, GA 30901 2018-04-23
1235684192 Heather Raborn Allergy & Immunology 1350 Walton Way Ste 5100, Augusta, GA 30901 2016-08-22
1457690745 Rehab Without Walls, Inc. In Home Supportive Care 820 St Sebastin Way Se, Augusta, GA 30901 2013-02-06
1861788051 Christina Weidner Belcher Physical Therapist 1246 Pine St, Augusta, GA 30901 2011-06-25
1750695979 C H Martin Company Durable Medical Equipment & Medical Supplies 1456 Walton Way Suite B, Augusta, GA 30901 2010-07-29
1366773905 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4027 Wheeler Rd, Augusta, GA 30901 2010-01-21
1851622484 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1715 Forest Drive, Augusta, GA 30901 2010-01-21
1760615280 Absolute Family PCh Point of Service 2035 Old Savannah Rd., Augusta, GA 30901 2009-09-01
1073740643 Ryan J Altenburg Internal Medicine 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 2009-06-22
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336764851 Joseph Pansius Student in an Organized Health Care Education/Training Program 1465 Laney Walker Blvd Bldg Af-1040, Augusta, GA 30912-0002 2020-06-10
1093339517 Daniel Jason Garcia Student in an Organized Health Care Education/Training Program 1040 Alexander Dr Apt 6323, Augusta, GA 30909-0291 2020-06-01
1922633643 Miki Christine Hayashi Student in an Organized Health Care Education/Training Program 1120 15th Street Augusta, Augusta, GA 30912-0001 2020-03-03
1578195277 Joseph Nelson Eddy Student in an Organized Health Care Education/Training Program 430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 2020-02-10
1669035960 Katherine Arenella Student in an Organized Health Care Education/Training Program 1 Freedom Way # 21, Augusta, GA 30904-6258 2019-04-22
1881257152 Walker Barmore Student in an Organized Health Care Education/Training Program Augusta University 1120 15th St Bi5070, Augusta, GA 30912-0001 2019-04-22
1255892253 Jennifer Bates Student in an Organized Health Care Education/Training Program 1120 15th St # Gc5119, Augusta, GA 30912-0004 2019-03-31
1861950768 Ila Steinke Student in an Organized Health Care Education/Training Program S9259 County Road V, Augusta, WI 54722 2019-03-09
1619435740 Justin Ray Mackert Student in an Organized Health Care Education/Training Program Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 2019-03-07
1609334820 Ashley Alexandra Pater Student in an Organized Health Care Education/Training Program Augusta University 1120 15th Street Gc 5110, Augusta, GA 30912-0001 2019-03-06
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Competitor

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City AUGUSTA
Zip Code 30901

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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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