DR. JACK FISHER YANCEY (MD) – Emergency Medicine Physician, NPI 1093270811

DR. JACK FISHER YANCEY (MD) is a healthcare provider. based in Macon, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 91974 (GA). The NPI Number for DR. JACK FISHER YANCEY (MD) is 1093270811

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACK FISHER YANCEY (MD)
NPI
1093270811
Phone
Not provided
Address
1550 COLLEGE ST
Enumeration Date
6 February 2019
Last Update Date
11 October 2022

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7064537331
Graduation Year
2019 (7 years ago)
PAC ID
5597182394
Group Practice PAC ID
0547698680
Professional Enrollment ID
I20220621001818
Address ID
GA306424232GR5401XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

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Provider Addresses for DR. JACK FISHER YANCEY (MD)

  • 1550, College Street, Macon, Bibb County, Georgia, 31201, United States

    MACON, GA 312071500

    Phone:

    Type: Mailing

  • 1230 BAXTER ST

    ATHENS, GA 306063712

    Phone: (706) 389-3993

    Fax: (706) 389-3096

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Kerecis Limited ($30).

Total Amount

$53

General + Research + Ownership

Payments

2

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Kerecis Limited$30
ABBVIE INC.$23
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: 2022-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20220621001818IEmergency MedicineGATBD

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
99285Emergency department visit with high level of medical decision making201193$0
99284Emergency department visit with moderate level of medical decision making169163$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only156135$0
99291Critical care, first 30-74 minutes9997$0
99283Emergency department visit with low level of medical decision making2221$0
View full utilization report →

Insurance plans in this area (ZIP 31207)

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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: 0547698680View full group profile
NameSpecialtyState
Nurse PractitionerGA
-AL
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Emergency MedicineGA
Emergency MedicineTN
-GA
Emergency MedicineGA
Emergency MedicineGA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. JACK FISHER YANCEY (MD)?
NPI 1093270811 is assigned to DR. JACK FISHER YANCEY (MD) under the national enumeration system.
Is DR. JACK FISHER YANCEY (MD) currently active in the NPI registry?
CMS-published data lists DR. JACK FISHER YANCEY (MD) as an active registrant.
Can you summarize DR. JACK FISHER YANCEY (MD)'s specialty in plain language?
Clinically, the directory lists DR. JACK FISHER YANCEY (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JACK FISHER YANCEY (MD)'s primary listing?
We display Macon, Georgia because that is what the record indicates for DR. JACK FISHER YANCEY (MD).
How can I contact DR. JACK FISHER YANCEY (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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