Healthcare Provider Details

I. General information

NPI: 1265017040
Provider Name (Legal Business Name): A. Y. BARBELL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2021
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 OLD CANTON RD APT C
BALL GROUND GA
30107-2943
US

IV. Provider business mailing address

195 PLEASANT HILL RD
JASPER GA
30143-3029
US

V. Phone/Fax

Practice location:
  • Phone: 770-275-3320
  • Fax:
Mailing address:
  • Phone: 770-275-3320
  • Fax: 770-275-3321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. AIMEE O YERVASI
Title or Position: OWNER
Credential: DC, ATC
Phone: 770-658-6311