| Vicki Lynn Yates, CNM | |
|
150 Gentilly Blvd, Cartersville, GA 30120-8522 | |
| (770) 276-7250 | |
| (770) 276-7251 |
| Full Name | Vicki Lynn Yates |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 150 Gentilly Blvd, Cartersville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124488556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | RN224858 (Georgia) | Primary |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Vicki Lynn Yates, CNM 221 Technology Pkwy Nw, Rome, GA 30165-1369 Ph: (706) 295-5331 | Vicki Lynn Yates, CNM 150 Gentilly Blvd, Cartersville, GA 30120-8522 Ph: (770) 276-7250 |
Mary Leah Molineaux, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-7200 Fax: 770-276-7251 | |
Macie Lane Goff, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-7200 Fax: 770-276-7251 | |
Barbora Cerny Snuggs, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 150 Gentilly Blvd, Cartersville, GA 30120 Phone: 770-382-5611 Fax: 770-382-8381 | |
Mackenzie Leigh Weiss, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-7200 Fax: 770-276-7251 | |
Valerie Braden Smith, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 150 Gentilly Blvd, Cartersville, GA 30120 Phone: 770-276-7250 Fax: 770-276-7251 | |
Monica Asio Hall, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-7200 Fax: 770-276-7251 |