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YADEN PHYSICAL AND INTEGRATED MEDICAL-LLC
NPI 1255958658
Family Medicine in Moncks Corner, SC

Active since July 01, 2020
425 BARONY ST, MONCKS CORNER, SC 29461(843) 899-7933(843) 899-5796 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Yaden Physical And Integrated Medical-llc NPPES

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

YADEN PHYSICAL AND INTEGRATED MEDICAL-LLC (NPI 1255958658) is a healthcare organization registered as a family medicine in Moncks Corner, South Carolina and active in the NPI registry since July 2020. The organization lists Jerald G Yaden, Owner, as its authorized official.

NPPES Registry Identity

NPI1255958658
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameYADEN PHYSICAL AND INTEGRATED MEDICAL-LLC
Location Address425 BARONY STMoncks Corner, SC 29461-3128
Mailing Address425 Barony StMoncks Corner, SC 29461-3128 · (843) 899-7933 · Fax (843) 899-5796
Phone(843) 899-7933
Fax(843) 899-5796
Organization SubpartNo
Authorized OfficialJerald G YadenOwner · (843) 899-7933
Enumeration DateJuly 1, 2020
Last NPPES UpdateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1255958658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
425 BARONY ST, Moncks Corner, SC 29461
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yaden Physical And Integrated Medical-llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Yaden Physical And Integrated Medical-LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Natalie Hendrickson, A-GNP
Nurse Practitioner
NPI 1427661834
425 BARONY ST
Moncks Corner, SC 29461
(843) 899-7399
✔ PECOSSame address
Jerald Yaden, DC
Chiropractic
NPI 1033171038
425 BARONY ST
Moncks Corner, SC 29461
(843) 899-7933
✔ Accepts MedicareSame address
Michael Mendola, D.O.
Emergency Medicine
NPI 1063618700
4295 HEMPSTEAD TURNPIKE
Bethpage, NY 11714
(516) 520-2201
✔ PECOS✔ Accepts Medicare631 mi

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

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 Yaden Physical And Integrated Medical-Llc's NPI number?

The NPI number for Yaden Physical And Integrated Medical-Llc is 1255958658. It was assigned to this organization in the NPPES registry on July 1, 2020.

Where is Yaden Physical And Integrated Medical-Llc located?

Yaden Physical And Integrated Medical-Llc is located at 425 Barony St, Moncks Corner, SC 29461. The listed phone number is (843) 899-7933.

What is Yaden Physical And Integrated Medical-Llc's specialty?

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

Is Yaden Physical And Integrated Medical-Llc enrolled in Medicare?

Yes. Yaden Physical And Integrated Medical-Llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Yaden Physical And Integrated Medical-Llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Yaden Physical And Integrated Medical-Llc, in Chiropractic, Emergency Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Yaden Physical And Integrated Medical-Llc was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.