Organization Active NPI

Young Healthcare Associates & Co LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • College Park, GA
National Provider Identifier
1033726179
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
YOUNG HEALTHCARE ASSOCIATES & CO LLC
Practice address
3755 Main St Unit 101
College Park, GA 30337-3543
Phone
(678) 632-5331
Fax
(551) 214-0934
NPI assigned
Sep 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Dr. Shante Nicole Young, DNP, FNP-C, PMHNP-BCNPI 1811389869
Title
Ceo
Phone
(678) 632-5331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

3755 Main St Unit 101
College Park, GA 30337-3543

Mailing address

390 Darien Dr
Senoia, GA 30276-3609
Phone (678) 357-2682

Other names 1

  • Wellness & Beyond Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201014003146 GA Part B Supplier - Clinic/Group Practice 5991125890 Receives reassigned benefits from 2 practitioners
Practice locations: College Park, GA

National Provider Directory

National Provider Directory

Locations

1668 Mulkey Rd
Ste H
Austell, GA 30106
Phone (678) 250-6123

42 Carriage Oaks Dr
#1020
Tyrone, GA 30290

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1033726179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 DARIEN DR",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302763609",
            "telephone_number": "678-357-2682",
            "fax_number": "551-214-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 MAIN ST UNIT 101",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303373543",
            "telephone_number": "678-632-5331",
            "fax_number": "551-214-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG HEALTHCARE ASSOCIATES & CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHANTE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-632-5331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness & Beyond Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.