Healthcare Provider Details

I. General information

NPI: 1265001226
Provider Name (Legal Business Name): DEBORAH BEATRICE YAWSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2021
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 HOPE RD
SANDY SPRINGS GA
30350-2957
US

IV. Provider business mailing address

10205 BRIXWORTH PL NE
BROOKHAVEN GA
30319-5339
US

V. Phone/Fax

Practice location:
  • Phone: 404-633-7473
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN-NP290240
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: