KATAYON YADEGARI PA
NPI 1700557790
Physician Assistant - Surgical in Newnan, GA

Active since September 21, 2021PECOS EnrolledAccepts Medicare Assignment
600 CELEBRATE LIFE PKWY, NEWNAN, GA 30265(770) 400-6000 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2023, Sep 21, 2021 (2 updates tracked since 2021).

About Katayon Yadegari Pa NPPES

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

KATAYON YADEGARI PA (NPI 1700557790) is an individual surgical provider in Newnan, Georgia, licensed in Georgia (11626) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, Inc, and is a graduate of Emory University School Of Medicine (2018).

NPPES Registry Identity

NPI1700557790
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKATAYON YADEGARICredential: PA
Location Address600 CELEBRATE LIFE PKWYNewnan, GA 30265-8001
Mailing Address1462 Clifton Rd NeAtlanta, GA 30322-1063
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2018
Enumeration DateSeptember 21, 2021
Last NPPES UpdateJuly 18, 20252 updates tracked since enumeration
NPPES CertifiedJuly 18, 2025
NPI 1700557790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in GA · 11626
600 CELEBRATE LIFE PKWY, Newnan, GA 30265

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katayon Yadegari Pa 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 ID5597126748
PECOS Enrollment IDI20230803002632
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services27 patients

Hospital Affiliations CMS Care Compare

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

Southeastern Regional Medical Center, Inc

Acute Care Hospitals · Newnan, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110233
Location600 Celebrate Life Parkway NorthNewnan, GA 30265 · Coweta County

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.

Physician Assistant
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265
Nurse Practitioner (Family)
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265
Nurse Anesthetist, Certified Registered
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265
Radiology (Diagnostic Radiology)
600 CELEBRATE LIFE PKWY, CANCER TREATMENT CENTERS OF AMERICA
NEWNAN, GA 30265
Internal Medicine (Hematology & Oncology)
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265
Registered Nurse
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265
Nurse Anesthetist, Certified Registered
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265
Urology
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265

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 Katayon Yadegari's NPI number?

The NPI number for Katayon Yadegari is 1700557790. It was assigned to this individual provider in the NPPES registry on September 21, 2021.

Where is Katayon Yadegari located?

Katayon Yadegari practices at 600 Celebrate Life Pkwy, Newnan, GA 30265. The listed phone number is (770) 400-6000.

What is Katayon Yadegari's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Katayon Yadegari enrolled in Medicare?

Yes. Katayon Yadegari 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.

Is Katayon Yadegari affiliated with any hospitals?

According to CMS data, Katayon Yadegari is affiliated with Southeastern Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Katayon Yadegari was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.