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YAIRA MALDONADO
NPI 1023616661
Nurse Practitioner - Family in Columbus, GA

Active since October 15, 2020PECOS Enrolled
4328 ARMOUR RD, COLUMBUS, GA 31904(706) 507-1213(706) 507-1217 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2021, Oct 15, 2020 (2 updates tracked since 2020).

About Yaira Maldonado NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YAIRA MALDONADO (NPI 1023616661) is an individual family provider in Columbus, Georgia, licensed in Georgia (NCO-000001) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023616661
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameYAIRA MALDONADO
Location Address4328 ARMOUR RDColumbus, GA 31904-5204
Mailing Address191 Lee Road 207Phenix City, AL 36870-8240 · (423) 227-5768
Phone(706) 507-1213
Fax(706) 507-1217
Sole ProprietorNo
Enumeration DateOctober 15, 2020
Last NPPES UpdateApril 1, 20212 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
✔ NPI 1023616661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · NCO-000001
4328 ARMOUR RD, Columbus, GA 31904
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yaira Maldonado is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Yaira Maldonado reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kmc Family Care PC
3.6 mi
Family Medicine
7500 VETERANS PKWY STE F
Columbus, GA 31909
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Kmc Family Care P.C.
  • 4 clinicians in this Medicare group
NPI 1306545975 (601) 562-7212
Kmc Urgent Care PC
3.6 mi
Emergency Medicine
7500 VETERANS PKWY STE G
Columbus, GA 31909
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1568161131 (706) 221-5064
Rural Urgent Care LLC
122 mi
Urgent Care
1925 W MAIN ST STE 120
Centre, AL 35960
  • Reassigned Medicare billing, Georgia enrollment
  • 157 clinicians in this Medicare group
NPI 1932586476 (205) 545-5088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN DONALD LOKKESMOE M.D.
Family Medicine
4328 ARMOUR RD
COLUMBUS, GA 31904
Muscogee County (706) 507-1213
CAROL ANNE YOUNGSTROM FNP-C
Nurse Practitioner (Family)
4328 ARMOUR RD
COLUMBUS, GA 31904
Muscogee County (706) 507-1213
RIVERTOWN MEDICAL CLINIC
Clinic/Center (Urgent Care)
4328 ARMOUR RD
COLUMBUS, GA 31904
Muscogee County (706) 507-1213
RIVERTOWN MEDICAL CLINIC
Family Medicine
4328 ARMOUR RD
COLUMBUS, GA 31904
Muscogee County (706) 507-1213
MRS. BRIANNA SHEFFIELD APRN
Nurse Practitioner (Family)
4328 ARMOUR RD
COLUMBUS, GA 31904
Muscogee County (706) 507-1213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yaira Maldonado's NPI number?

The NPI number for Yaira Maldonado is 1023616661. It was assigned to this individual provider in the NPPES registry on October 15, 2020.

Where is Yaira Maldonado located?

Yaira Maldonado practices at 4328 Armour Rd, Columbus, GA 31904. The listed phone number is (706) 507-1213.

What is Yaira Maldonado's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Yaira Maldonado enrolled in Medicare?

Yes. Yaira Maldonado is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Yaira Maldonado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yaira Maldonado reassigns Medicare benefits to 3 organizations: Kmc Family Care PC (Columbus, GA), Kmc Urgent Care PC (Columbus, GA) and Rural Urgent Care LLC (Centre, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yaira Maldonado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yaira Maldonado accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Yaira Maldonado as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Yaira Maldonado was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.