Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maryann Joy Yacoub

Individual provider Physician Assistant · NPI 1205518743

Maryann Joy Yacoub is a Physician Assistant in Atlanta, Georgia. Qualified in 2024, 2 years ago. Practices with Dr Douglas Mehaffie MD LLC, an 18-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2023
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Practice location Address checks out

2600 Century Pkwy NE
Atlanta, GA 30345-3125
Phone: (470) 322-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1205518743
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 3, 2023
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Dr Douglas Mehaffie Md Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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