MEDICARE: SARAH JANE YANCEY PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	13030	GA

General Provider Information

NPI Number	:	1912744756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH JANE YANCEY PA-C

Provider Business Mailing Address
First Line	:	4790 WATERS AVE STE 400
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31404-6220
Country	:	US
Telephone Number	:	912-866-1220
Fax Number	:	855-538-6936

Provider Business Practice Location Address
First Line	:	2321 POOLER PKWY STE 107
Second Line	:
City	:	POOLER
State	:	GA
Zip	:	31322-4423
Country	:	US
Telephone Number	:	912-303-7149
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2024
Last Update Date	:	04/27/2026

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Directions to “ SARAH JANE YANCEY PA-C” Practice Location

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