Individual provider Active NPI

Rachel Hinson Youngblood, PA-C

  • Physician Assistant
  • Macon, GA
National Provider Identifier
1033405477
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5960 Issued in GA
Practice address
840 Pine St Ste 750
Macon, GA 31201-7528
Phone
(478) 633-1458
Fax
(478) 633-5025
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5960 GA Primary

Addresses

Primary practice location

840 Pine St Ste 750
Macon, GA 31201-7528

Mailing address

840 Pine St Ste 750
Macon, GA 31201-7528
Phone (478) 633-1458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121211000408 GA Practitioner - Physician Assistant 1951553353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical College of Georgia School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600

320 Margie Dr
Warner Robins, GA 31088-7817
Phone (478) 633-1458

840 Pine St
Suite 750
Macon, GA 31201-7528
Phone (478) 633-1458

Hospital & facility affiliations

  • Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310
  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Cancer Care, P.C. Current Accepting new patients

Locations

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

5400 Sutlive St
Savannah, GA 31405
Phone (912) 201-3825

Interoperability endpoints

  • Direct secure messaging: ryoungblood433578@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: ryoungblood@summitcancercare.direct.varian.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1033405477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PINE ST STE 750",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017528",
            "telephone_number": "478-633-1458",
            "fax_number": "478-633-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 PINE ST STE 750",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017528",
            "telephone_number": "478-633-1458",
            "fax_number": "478-633-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "RACHEL",
        "middle_name": "HINSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "5960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.