| Ken Yangyang Avila, APRN, FNP-C | |
|
2122 Manchester Expy, Columbus, GA 31904-6878 | |
| (706) 596-4000 | |
| Not Available |
| Full Name | Ken Yangyang Avila |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 2122 Manchester Expy, Columbus, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396570594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN241179 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstreet Of Georgia Pc | 7517126279 | 425 |
| Inphynet Primary Care Physicians Southeast Pc | 3779497045 | 71 |
| Entity Name | Inphynet Primary Care Physicians Southeast PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770521460 PECOS PAC ID: 3779497045 Enrollment ID: O20031119000600 |
| Entity Name | Wellstreet of Georgia PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603 |
| Entity Name | Healogics Specialty Physicians of Georgia, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265843536 PECOS PAC ID: 7214154392 Enrollment ID: O20140813001916 |
| Entity Name | Georgia Mso LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952196164 PECOS PAC ID: 3173041639 Enrollment ID: O20250519001080 |
| Mailing Address | Practice Location Address |
|---|---|
| Ken Yangyang Avila, APRN, FNP-C 2122 Manchester Expy, Columbus, GA 31904-6878 Ph: (706) 596-4000 | Ken Yangyang Avila, APRN, FNP-C 2122 Manchester Expy, Columbus, GA 31904-6878 Ph: (706) 596-4000 |
Resa A Lord, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 17th St, Suite 107, Columbus, GA 31901 Phone: 706-571-1665 Fax: 706-660-2699 |
Mrs. Leigh Ann Youngblood - West, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 706-596-4000 |
Courtni Schaaf, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 10th Ave Ste 370, Columbus, GA 31901 Phone: 706-660-2562 Fax: 706-660-2580 |
Susan Carol Wieczorek, NP-C, CWOCN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 808 21st St, Columbus, GA 31904 Phone: 706-321-3901 Fax: 706-321-3904 |
Mrs. Ann Marie Blair, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 19th St, Columbus, GA 31901 Phone: 706-322-7884 |
Mrs. Crystal Berry, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 Brown Ave, Columbus, GA 31906 Phone: 678-729-7973 |
Courtney Natasha Jones, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Brookstone Centre Pkwy Ste 226, Columbus, GA 31904 Phone: 706-653-2889 Fax: 706-494-8220 |