Shyamala Yennam (NPI# 1053624049, PAC ID# 9931423704) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1053624049 |
| PAC ID by PECOS | 9931423704 |
| Professional Enrollment ID | I20151218001080 |
| Full Name | Shyamala Yennam |
| Organization Legal Name | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| Address |
2415 Parkwood Dr Brunswick GA 31520-4722 |
| Phone Number | 9124667000 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 5890781371 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110128 | MEADOWS REGIONAL MEDICAL CENTER |
| 110025 | SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS |
| 110124 | WAYNE MEMORIAL HOSPITAL |
| 111306 | EFFINGHAM HEALTH SYSTEM |
| 110150 | NAVICENT HEALTH BALDWIN |
| Address | Phone | Organization |
|---|---|---|
| 203 Indigo Dr, Brunswick, GA 31525-6865 | 91226126691205 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 9124667000 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| Organization Legal Name | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yumi Angerica Kojima | Pathology | Southeastern Pathology Associates PC | 203 Indigo Dr, Brunswick, GA 31525-6865 |
| Janet O Hon | Pathology | Southeastern Pathology Associates PC | 801 Oak St, Green Cove Springs, FL 32043-4317 |
| Ningxing Chen | Pathology | Southeastern Pathology Associates PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| David A Holloman | Pathology | Southeastern Pathology Associates PC | 800 Prudential Dr, Jacksonville, FL 32207-8202 |
| James H Hudson | Pathology | Southeastern Pathology Associates PC | 203 Indigo Dr, Brunswick, GA 31525-6865 |
| Tatiana Vasylievna Barsukova | Pathology | Southeastern Pathology Associates PC | 800 Prudential Dr, Jacksonville, FL 32207-8202 |
| Gerson Paull | Pathology | Southeastern Pathology Associates PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Thuy L Penedo | Pathology | Southeastern Pathology Associates PC | 800 Prudential Dr, Jacksonville, FL 32207-8202 |
| Robert K Wade | Pathology | Southeastern Pathology Associates PC | 1499 Fair Rd, Statesboro, GA 30458-1683 |
| Carolyn Kinzer Bezanson Wall | Pathology | Southeastern Pathology Associates PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Street Address |
2415 PARKWOOD DR |
| City | BRUNSWICK |
| State | GA |
| Zip | 31520-4722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caleb Fentom Powell | Emergency Medicine | Emergency Physicians Inc | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| John A Limburg | Family Medicine | Cooperative Healthcare Services, Inc. | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Freddy Guevara | Hospitalist | Cooperative Healthcare Services, Inc. | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| John D Mohline | Emergency Medicine | Emergency Physicians Inc | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Erin Ferguson | Physician Assistant | Cooperative Healthcare Services, Inc. | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Natalie Bennett Yonz | Physician Assistant | Cooperative Healthcare Services, Inc. | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Susan G Osullivan | Diagnostic Radiology | Imaging Associates of Georgia LLC | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Donna J Hooks | Nurse Practitioner | Cooperative Healthcare Services, Inc. | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Matthew W Hammond | Emergency Medicine | Emergency Physicians Inc | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Teresa Howard | Nurse Practitioner | Cooperative Healthcare Services, Inc. | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory D Martin | General Surgery | 650 Scranton Rd, Suite C, Brunswick, GA 31520-1927 | |
| Kerry E Moore | Nurse Practitioner | Heller Family Medicine LLC | 664 Scranton Rd, Brunswick, GA 31520-1946 |
| Richard P Mcewan | Family Medicine | 160 Juniper Court, Suite 101, Brunswick, GA 31520-1952 | |
| Sonya D Roland | Physical Therapy | 216 Harrison Ln, Brunswick, GA 31520-1959 | |
| Yoshi T Graham | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Dana Morgan | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Stephanie R Chapman | Psychiatry | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Gregory C Claxton | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Megan J Woolwine | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Peri M Kyriacos | Clinical Social Worker | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Find all physicians in zip 31520 | |||
| City | BRUNSWICK |
| Zip Code | 31520 |
| Specialty | PATHOLOGY |
| City + Specialty | BRUNSWICK + PATHOLOGY |
Please comment or provide details below to improve the information on Shyamala Yennam.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.