Yolanda Devereaux, CNM is a medicare enrolled "Advanced Practice Midwife" in Jonesboro, Georgia. Her current practice location is
2400 Mount Zion Pkwy, Jonesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 365-0966.
Yolanda Devereaux is licensed to practice in Georgia (license number CNM306421) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548638786.
Provider's Profile
| Full Name | Yolanda Devereaux |
|---|
| Gender | Female |
|---|
| Speciality | Advanced Practice Midwife |
|---|
| Location | 2400 Mount Zion Pkwy, Jonesboro, Georgia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548638786
- Provider Enumeration Date: 09/04/2015
- Last Update Date: 03/12/2026
Medicare PECOS Information:
- PECOS PAC ID: 7618303678
- Enrollment ID: I20240116001935
Medical Identifiers
Medical identifiers for Yolanda Devereaux such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548638786 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367A00000X | Advanced Practice Midwife | CNM306421 (Georgia) | Primary |
| 367A00000X | Advanced Practice Midwife | 235745 (California) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Yolanda Devereaux allows following entities to bill medicare on her behalf.
| 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 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Yolanda Devereaux is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Yolanda Devereaux, CNM 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 Ph: (404) 365-0966 | Yolanda Devereaux, CNM 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 Ph: (404) 365-0966 |
Reviews and Comments