Healthcare Provider Details

I. General information

NPI: 1013844679
Provider Name (Legal Business Name): CAITLIN MARY YARDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 JOHNSON FERRY RD
SANDY SPRINGS GA
30342-1611
US

IV. Provider business mailing address

1000 JOHNSON FERRY RD
SANDY SPRINGS GA
30342-1606
US

V. Phone/Fax

Practice location:
  • Phone: 404-851-6051
  • Fax:
Mailing address:
  • Phone: 404-851-6051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN292198
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: