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● Active Type 1 · Individual

Ryan Austin Yenovkian, PA

Medical (Physician Assistant)·Gainesville, GA· NPI 1639712847 · Enumerated 2019 · 6 years on NPI
Yenovkian is 1 of 68 medical (physician assistant) providers in Gainesville and 1 of 1,322 in Georgia.
NPI age
6 years
Enumerated 2019-10-21
Primary specialty
Medical (Physician Assistant)
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-12-07
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1322 active medical (physician assistant) providers in Georgia.

NPI age
6 years
↓ 9 yr below median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2019 → 2020

2019-10Enumerated in NPPES
2019 2020

Where they practice

Practice location
743 Spring St Ne
Gainesville, GA 305013715
📞 7705342020fax 7705348025
Mailing address
Po Box 742616
Atlanta, GA 303742616
📞 7702198420

Specialties

  • Physician Assistant Primary
    CMS NPPES uses NUCC taxonomy code 363AM0700X for provider records classified as Medical within Physician Assistant. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
    GA license #9577 taxonomy 363AM0700X

Medicare directory context

Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare, retrieved 2026-08-21. They apply only to this clinician's public Medicare listing.

Medicare specialties
Physician Assistant
Medical school
Philadelphia College Of Osteopathic Medicine
Graduation year 2019
Largest Medicare group
126 members
Largest listed enrollment group

Facility affiliations reported by CMS

  • Georgia Heart Institute Llc

Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered. View the CMS dataset →

Practice context

Part of a multi-provider practice. 699 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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