P Praxis·MD
● Active Type 1 · Individual

DR. Yolanda Maria Miroballi Mendoza, MD

Radiology·Fort Moore, GA· NPI 1265966303 · Enumerated 2017 · 9 years on NPI
Mendoza is 1 of 4 radiology providers in Fort Moore and 1 of 1280 in Georgia.
NPI age
9 years
Enumerated 2017-04-15
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
NE
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active radiology providers in Georgia.

NPI age
9 years
↓ 10 yr below median (19 yr)
State licenses
1 state
21% of peers hold multiple states
Subspecialties
1
In the 38% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-04Enumerated in NPPES
2017 2026

Where they practice

Practice location
6600 Van Aalst Blvd
Fort Moore, GA 319052102
📞 7624082273
Mailing address
6600 Van Aalst Blvd
Fort Moore, GA 319052102

Additional practice locations

1 secondary location on file with NPPES.

Location 2
9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 984311000
📞 2539684184

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    NE license #31114 taxonomy 2085R0202X
  • General Practice
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    NE license #31114 taxonomy 208D00000X

Practice context

Part of a multi-provider practice. 115 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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