P Praxis·MD
● Active Type 1 · Individual

DR. Ferdinand Domenic Yates JR., M.D.

Pediatrics·Woodstock, GA· NPI 1154362366 · Enumerated 2006 · 19 years on NPI
Yates is 1 of 21 pediatrics providers in Woodstock and 1 of 2726 in Georgia.
NPI age
19 years
Enumerated 2006-06-09
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA, NY
2 states
Status
Active
No deactivations on record
Last NPPES update
2016-05-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
2000 Professional Way, #200
Woodstock, GA 301884093
📞 7705170250fax 7705170260
Mailing address
2000 Professional Way, #200
Woodstock, GA 301884093
📞 7705170250fax 7705170260

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #73676 taxonomy 208000000X
  • Pediatrics
    A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
    NY license #140477-1 taxonomy 2080A0000X

Identifiers

TypeValueNotes
05 (NY) 00669374
05 (GA) 003169014A
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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