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DR. THEODORE LEON YARBORO JR. MD
NPI 1114979499
Family Medicine in Sandersville, GA

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
610 SPARTA RD, SANDERSVILLE, GA 31082(478) 240-2125 Get Directions Write a Review

NPPES record last updated: July 26, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Theodore Leon Yarboro Jr. Md NPPES

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

DR. THEODORE LEON YARBORO JR. MD (NPI 1114979499) is an individual family medicine provider in Sandersville, Georgia, licensed in Georgia (37929) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Jefferson Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (1992).

NPPES Registry Identity

NPI1114979499
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THEODORE LEON YARBORO JR.Credential: MD
Location Address610 SPARTA RDSandersville, GA 31082-1860
Mailing Address465 Plantation DrSandersville, GA 31082-7453 · (478) 552-6787
Phone(478) 240-2125
Sole ProprietorYes
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1992
Enumeration DateMay 16, 2006
Last NPPES UpdateJuly 26, 2011
✔ NPI 1114979499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 37929
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 037929 (GA)
610 SPARTA RD, Sandersville, GA 31082
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Other Identifiers 1

Medicare UPINF71103GA

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 and accepts Medicare assignment

Dr. Theodore Leon Yarboro Jr. 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.

PECOS PAC ID9830177146
PECOS Enrollment IDI20040713000372
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

6

Medicare enrollment records show Theodore Yarboro reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southland Burke Emergency Medical Services, LLC
46 mi
Emergency Medicine
351 S LIBERTY ST
Waynesboro, GA 30830
  • Reassigned Medicare billing, Georgia enrollment
  • 46 clinicians in this Medicare group
NPI 1235885815 (229) 236-0831
Southland Cochran Emergency Medical Services, LLC
52 mi
Emergency Medicine
145 PEACOCK ST.
Cocharan, GA 31014
  • Reassigned Medicare billing, Georgia enrollment
  • 52 clinicians in this Medicare group
NPI 1205241395 (478) 934-6211
Southland Emergency Medical Services Consolidated, LLC
53 mi
Hospitalist
145 E PEACOCK ST
Cochran, GA 31014
  • Reassigned Medicare billing, Georgia enrollment
  • 155 clinicians in this Medicare group
NPI 1033464391 (478) 934-6211
Southland Hawkinsville Emergency Medical Services, LLC
62 mi
Emergency Medicine
222 PERRY HWY
Hawkinsville, GA 31036
  • Reassigned Medicare billing, Georgia enrollment
  • 23 clinicians in this Medicare group
NPI 1891100962 (478) 783-0200
Southland Taylor Hospitalist Group, LLC
62 mi
Hospitalist
222 PERRY HWY
Hawkinsville, GA 31036
  • Reassigned Medicare billing, Georgia enrollment
  • 29 clinicians in this Medicare group
NPI 1093120909 (478) 783-0200
Southland Consolidated Emergency Services, LLC
78 mi
Emergency Medicine
4 MEDICAL DR
Elberton, GA 30635
  • Reassigned Medicare billing, Georgia enrollment
  • 137 clinicians in this Medicare group
NPI 1174917124 (706) 283-3151

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 7

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
149 services130 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
76 services61 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
72 services70 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
26 services25 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
21 services19 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
17 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jefferson Hospital

Acute Care Hospitals · Louisville, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110100
Location1067 Peachtree StLouisville, GA 30434 · Jefferson County
Emergency services

Memorial Hospital And Manor

Acute Care Hospitals · Bainbridge, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110132
Location1500 E Shotwell StreetBainbridge, GA 39819 · Decatur County
Emergency services Birthing friendly

Donalsonville Hospital Inc

Acute Care Hospitals · Donalsonville, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110194
Location102 Hospital CirDonalsonville, GA 39845 · Seminole County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31082 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 20

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

HOSPITAL AUTHORITY OF WASHINGTON COUNTY
Nursing Facility/Intermediate Care Facility
610 SPARTA RD
SANDERSVILLE, GA 31082
Washington County (478) 240-2060
MRS. RANDY S. THOMAS SLP-CCC
Speech-Language Pathologist
610 SPARTA RD, POST OFFICE BOX 636
SANDERSVILLE, GA 31082
Washington County (478) 240-2176
SANDY DREW CARTER LEWIS
Speech-Language Pathologist
610 SPARTA RD
SANDERSVILLE, GA 31082
Washington County (478) 240-2000
MRS. CARLA BETH CLARK RD, LD, RN
Dietitian, Registered
610 SPARTA RD
SANDERSVILLE, GA 31082
Washington County (478) 240-2181
DR. ROBERT P WRIGHT M.D.
Specialist
610 SPARTA RD
SANDERSVILLE, GA 31082
Washington County (478) 240-2000
JAMES H TINLEY MD
Specialist
610 SPARTA RD
SANDERSVILLE, GA 31082
Washington County (478) 240-2000
HOSPITAL AUTHORITY OF WASHINGTON COUNTY
Skilled Nursing Facility
610 SPARTA RD
SANDERSVILLE, GA 31082
Washington County (478) 240-2005
LAUREN DAILEY OTR/L
Occupational Therapist
610 SPARTA RD
SANDERSVILLE, GA 31082
Washington County (478) 240-2176

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 Theodore Yarboro's NPI number?

The NPI number for Theodore Yarboro is 1114979499. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Theodore Yarboro located?

Theodore Yarboro practices at 610 Sparta Rd, Sandersville, GA 31082. The listed phone number is (478) 240-2125.

What is Theodore Yarboro's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Theodore Yarboro enrolled in Medicare?

Yes. Theodore Yarboro 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 Theodore Yarboro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Yarboro reassigns Medicare benefits to 6 organizations: Southland Burke Emergency Medical Services, LLC (Waynesboro, GA), Southland Cochran Emergency Medical Services, LLC (Cocharan, GA), Southland Emergency Medical Services Consolidated, LLC (Cochran, GA), Southland Hawkinsville Emergency Medical Services, LLC (Hawkinsville, GA), Southland Taylor Hospitalist Group, LLC (Hawkinsville, GA) and 1 more organization, listed in the Medicare section above. 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 Theodore Yarboro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Yarboro accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Theodore Yarboro 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.

Is Theodore Yarboro affiliated with any hospitals?

According to CMS data, Theodore Yarboro is affiliated with Jefferson Hospital, Memorial Hospital And Manor and Donalsonville Hospital Inc.

When was this NPI record last updated?

The NPPES record for Theodore Yarboro was last updated on July 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.