Mio Yanagisawa
Mio Yanagisawa is a General Surgery in Fayetteville, Georgia. Graduated from University of Texas Southwestern Medical School at Dallas in 2014, 12 years ago. Practices with Piedmont Providers LLC, a 518-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Georgia and Pennsylvania.
- Years since qualifying
- 12
- Trained at
- University of Texas Southwestern Medical School at Dallas
- Licensed in
- GA, PA
- In the registry since
- 2014
- Specialties on file
- 3
Practice location Address checks out
1279 Highway 54 W Ste 100Fayetteville, GA 30214-4551
Phone: (770) 719-5710
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (4)
- 2315 Stockton Blvd, Sacramento, CA 95817-2201 — (916) 734-2011
- 1365 Clifton Rd Ne Bldg C, Atlanta, GA 30322-1013 — (404) 778-3307
- 22 St Paul Dr Ste 207, Chambersburg, PA 17201-1036 — (717) 709-6599
- 450 S Washington St, Gettysburg, PA 17325-2500 — (717) 709-6599
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 85457 (GA) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence MD492547 (PA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1376955831 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 2, 2014 |
| Last updated in NPPES | November 3, 2025 |
| Certification date | November 3, 2025 |
| Mailing address | 1365 Clifton Rd Ne Bldg C, Atlanta, GA 30322-1013 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Medical school | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduated | 2014 (12 years in practice) |
| Group practice | Piedmont Providers Llc — 518 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Fayetteville
-
Dr. Nicole L Sroka, MD
1279 Highway 54 W Ste 210, Fayetteville, GA 30214-4550 · (770) 719-5710
-
Dr. James Mattingly Stevens, MD
1265 Highway 54 W Ste 500B, Fayetteville, GA 30214-4548 · (770) 719-5660
-
Russell Andrew Wilson, MD
1265 Highway 54 W Ste 500B, Fayetteville, GA 30214-4556 · (770) 719-5660
-
Lloyd Thomas Winger IV, MD
1265 Highway 54 W Ste 500B, Fayetteville, GA 30214-4548 · (770) 719-5660