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PAUL YERMACHENKOV
NPI 1649110040
Student in an Organized Health Care Education/Training Program in Moultrie, GA

Active since March 30, 2026
3131 S MAIN ST, MOULTRIE, GA 31768(229) 502-9753 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul Yermachenkov NPPES

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

PAUL YERMACHENKOV (NPI 1649110040) is an individual student in an organized health care education/training program in Moultrie, Georgia and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1649110040
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePAUL YERMACHENKOV
Location Address3131 S MAIN STMoultrie, GA 31768-6925
Mailing Address3131 S Main StMoultrie, GA 31768-6925 · (229) 502-9753
Phone(229) 502-9753
Sole ProprietorYes
Enumeration DateMarch 30, 2026
NPPES CertifiedMarch 29, 2026
✔ NPI 1649110040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3131 S MAIN ST, Moultrie, GA 31768
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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.

JARED KENT CARDWELL MD
Family Medicine
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 502-9782
NOMAN AHMED MALIK M.D.
Radiology (Diagnostic Radiology)
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 890-3500
RADIOLOGY ASSOCIATES OF MOULTRIE
Radiology (Diagnostic Radiology)
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 985-8802
GEORGE ANTHONY SHEFFIELD JR. PT
Physical Therapist
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 985-3420
WOODWIN MICHAEL WEEKS DO
Family Medicine
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 985-3420
DR. TRE'CHERIE ARACHAEL CRUMBS MD
Internal Medicine
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 502-9782
MAILYN CRUZ
Student in an Organized Health Care Education/Training Program
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 502-9753
ANTHONY M MOSER MD
Pathology (Anatomic Pathology & Clinical Pathology)
3131 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 985-7977

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 Paul Yermachenkov's NPI number?

The NPI number for Paul Yermachenkov is 1649110040. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Paul Yermachenkov located?

Paul Yermachenkov practices at 3131 S Main St, Moultrie, GA 31768. The listed phone number is (229) 502-9753.

What is Paul Yermachenkov's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Paul Yermachenkov was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.