DR. VIRGINIA YATES (M.D.) – Psychiatry Physician, NPI 1063412500

DR. VIRGINIA YATES (M.D.) is a healthcare provider. based in Fort gordon, Georgia. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. 40121 (GA). The NPI Number for DR. VIRGINIA YATES (M.D.) is 1063412500

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. VIRGINIA YATES (M.D.)
NPI
1063412500
Phone
(706) 787-2776
Address
300 EAST HOSPITAL RD
Enumeration Date
27 July 2005
Last Update Date
9 July 2014

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
2292288100
Graduation Year
1996 (30 years ago)
PAC ID
5991929812
Group Practice PAC ID
4981502622
Professional Enrollment ID
I20190415000723
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. VIRGINIA YATES (M.D.)

  • Eisenhower Army Medical Center, 300, East Hospital Road, Augusta, Richmond County, Georgia, 30905, United States

    CREDENTIALS COORDINATOR

    FORT GORDON, GA 30905

    Phone: (706) 787-2776

    Type: Location

  • 7th Street, Broad Street Historic District, Augusta, Richmond County, Georgia, 30901, United States

    AUGUSTA, GA 309011343

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20190415000723IPsychiatryGATBD
I20220912000852IPsychiatryFLTBD
I20220915000327IPsychiatryNYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30905)

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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: 4981502622View full group profile
NameSpecialtyState
Nurse PractitionerGA
Diagnostic RadiologyMN
-GA
-GA
-GA
Diagnostic RadiologyFL
General SurgeryGA
Nuclear Medicine, Diagnostic RadiologyGA
-GA
Diagnostic RadiologyGA

Reviews

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Frequently asked questions

What NPI should I save for DR. VIRGINIA YATES (M.D.)?
Save NPI 1063412500 if you need a stable reference for DR. VIRGINIA YATES (M.D.).
Does this profile mean DR. VIRGINIA YATES (M.D.) is currently active?
Yes — DR. VIRGINIA YATES (M.D.) appears active in the national provider directory.
Does DR. VIRGINIA YATES (M.D.) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for DR. VIRGINIA YATES (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. VIRGINIA YATES (M.D.)?
We surface Fort Gordon, Georgia for DR. VIRGINIA YATES (M.D.) based on available NPPES addresses.
How can I contact DR. VIRGINIA YATES (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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