YEBU YAYE JALLOH CHARLES (APRN, NP) – Registered Nurse, NPI 1275298119

YEBU YAYE JALLOH CHARLES (APRN, NP) is a healthcare provider. based in Hiram, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, NP. They hold a License No. RN306798 (GA). The NPI Number for YEBU YAYE JALLOH CHARLES (APRN, NP) is 1275298119

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
YEBU YAYE JALLOH CHARLES (APRN, NP)
NPI
1275298119
Phone
(770) 527-6341
Address
105 BIRCH ST
Enumeration Date
4 November 2021
Last Update Date
26 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4048521333
Graduation Year
2024 (2 years ago)
PAC ID
0244722122
Group Practice PAC ID
0143601708
Professional Enrollment ID
I20251126004449
Address ID
GA301351875DO5778XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for YEBU YAYE JALLOH CHARLES (APRN, NP)

  • 105 BIRCH ST

    HIRAM, GA 301414129

    Phone: (770) 527-6341

    Type: Mailing

  • 616 DYER DR

    LOCUST GROVE, GA 302482350

    Phone: (770) 527-6341

    Type: Location

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: 2025-11-26

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
I20251126004449INurse PractitionerGATBD

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 30141)

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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: 0143601708View full group profile
NameSpecialtyState
Clinical Social WorkerGA

Reviews

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Frequently asked questions

Is there an official ID for YEBU YAYE JALLOH CHARLES (APRN, NP) in U.S. healthcare records?
The official identifier for YEBU YAYE JALLOH CHARLES (APRN, NP) is NPI 1275298119.
Active or inactive — what applies to YEBU YAYE JALLOH CHARLES (APRN, NP)?
You should see YEBU YAYE JALLOH CHARLES (APRN, NP) as active in CMS-hosted NPPES data.
What kind of doctor is YEBU YAYE JALLOH CHARLES (APRN, NP)?
YEBU YAYE JALLOH CHARLES (APRN, NP) is associated with Registered Nurse in the directory — Clinical services aligned with this taxonomy classification.
Where in Georgia is YEBU YAYE JALLOH CHARLES (APRN, NP) registered?
Use Hiram, Georgia as the headline location for YEBU YAYE JALLOH CHARLES (APRN, NP) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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