DR. JACK FISHER YANCEY MD
NPI 1093270811
Emergency Medicine in Athens, GA
About Dr. Jack Fisher Yancey Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACK FISHER YANCEY MD (NPI 1093270811) is an individual emergency medicine provider in Athens, Georgia, licensed in Georgia (91974) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and is a graduate of Mercer University School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jack Fisher Yancey Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Jack Yancey reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Athens, GA 30606
- Reassigned Medicare billing, Georgia enrollment
- 58 clinicians in this Medicare group
Riverdale, GA 30274
- Reassigned Medicare billing, Georgia enrollment
- 160 clinicians in this Medicare group
Cedartown, GA 30125
- Reassigned Medicare billing, Georgia enrollment
- 102 clinicians in this Medicare group
Trion, GA 30753
- Reassigned Medicare billing, Georgia enrollment
- 58 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary's Hospital
Acute Care Hospitals · Athens, GASt. Mary's Good Samaritan Hospital
Critical Access Hospitals · Greensboro, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATHENS, GA 30606
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 Jack Yancey's NPI number?
The NPI number for Jack Yancey is 1093270811. It was assigned to this individual provider in the NPPES registry on February 6, 2019.
Where is Jack Yancey located?
Jack Yancey practices at 1230 Baxter St, Athens, GA 30606. The listed phone number is (706) 389-3993.
What is Jack Yancey's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jack Yancey enrolled in Medicare?
Yes. Jack Yancey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jack Yancey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Yancey reassigns Medicare benefits to 4 organizations: Athens Clarke Medical Enterprises LLC (Athens, GA), Georgia Hospitalists Group, LLC (Riverdale, GA), Etowah Emergency Physicians, LLC (Cedartown, GA) and Chattooga River Physicians, LLC (Trion, GA). 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 Jack Yancey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jack Yancey affiliated with any hospitals?
According to CMS data, Jack Yancey is affiliated with St Mary's Hospital and St. Mary's Good Samaritan Hospital.
When was this NPI record last updated?
The NPPES record for Jack Yancey was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Jack Fisher Yancey, MD · NPI 1093270811
Emergency Medicine physician in Athens, Georgia. Individual provider, active in the CMS NPPES registry since February 6, 2019.
## Identity
- **NPI:** 1093270811 (Entity type: Individual)
- **Enumerated:** February 6, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 91974 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1230 BAXTER ST, Athens, GA 30606-3712
- **Phone:** (706) 389-3993 · **Fax:** (706) 389-3096
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Athens Clarke Medical Enterprises LLC (NPI 1295370542, Athens, GA); Georgia Hospitalists Group, LLC (NPI 1033576376, Riverdale, GA); Etowah Emergency Physicians, LLC (NPI 1306388343, Cedartown, GA); Chattooga River Physicians, LLC (NPI 1184302473, Trion, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Mercer University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** October 11, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1093270811) · Data from the CMS NPPES public registry.