SUSAN MARINA YATES (NP-C) – Family Nurse Practitioner, NPI 1053720441

SUSAN MARINA YATES (NP-C) is a healthcare provider. based in Dalton, Georgia. specializing in Family Nurse Practitioner. They hold the professional credentials NP-C. They hold a License No. 105921 (GA). The NPI Number for SUSAN MARINA YATES (NP-C) is 1053720441

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN MARINA YATES (NP-C)
NPI
1053720441
Phone
(706) 529-7440
Address
PO BOX 1587
Enumeration Date
11 August 2014
Last Update Date
19 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7062263434
Graduation Year
2014 (12 years ago)
PAC ID
1254551633
Group Practice PAC ID
4789708553
Professional Enrollment ID
I20141007001337

Contacts

Secure Messaging
susan.yates.1@8518.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness95
Years active:11State licenses:2Other names

Provider Addresses for SUSAN MARINA YATES (NP-C)

  • PO BOX 1587

    DALTON, GA 307221587

    Phone: (706) 529-7440

    Fax: (706) 529-7437

    Type: Mailing

  • 1107 MEMORIAL DR

    SUITE 100

    DALTON, GA 307208668

    Phone: (706) 529-7124

    Fax: (706) 529-9631

    Type: Location

  • 1525 CHATTANOOGA RD

    DALTON, GA 307208379

    Phone: (706) 529-7124

    Fax: (706) 529-7126

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $743.

Total Amount is formed as General ($743) + Research ($0) + Ownership ($0) = $743.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($336).

Total Amount

$743

General + Research + Ownership

Payments

46

Total payment records

General Amount

$743

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141007001337INurse PractitionerGATBD
I20240717004696INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
80305Testing for presence of drug, read by direct observation470196$0
99213Established patient office or other outpatient visit, 20-29 minutes441225$0
99214Established patient office or other outpatient visit, 30-39 minutes314207$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg13631$0
J1885Injection, ketorolac tromethamine, per 15 mg11022$0
View full utilization report →

Insurance plans in this area (ZIP 30722)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789708553View full group profile
NameSpecialtyState
Nurse PractitionerGA
-TN
General SurgeryGA
-GA
Cardiovascular Disease (Cardiology)GA
-GA
-GA
Pulmonary Disease, Critical Care (Intensivists)GA
General SurgeryFL
-GA

Reviews

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Frequently asked questions

What identifier follows SUSAN MARINA YATES (NP-C) across health systems?
The NPI 1053720441 uniquely identifies SUSAN MARINA YATES (NP-C) in U.S. healthcare data.
Does the public listing show SUSAN MARINA YATES (NP-C) as active?
SUSAN MARINA YATES (NP-C)'s NPI record reflects an active status in NPPES.
Which specialty label fits SUSAN MARINA YATES (NP-C)?
NPPES ties SUSAN MARINA YATES (NP-C) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SUSAN MARINA YATES (NP-C)?
SUSAN MARINA YATES (NP-C) is associated with Dalton, Georgia in the same public data insurers reference.
Who maintains SUSAN MARINA YATES (NP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.