Active NPI
G. Dale Young, N.P.
- Family Nurse Practitioner
- Lawrenceville, GA
National Provider Identifier
1043229537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 046139
- Practice address
- 565 Old Norcross Rd
Lawrenceville, GA 30046-4308 - Phone
- (770) 995-5131
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 046139 | GA | Primary |
Addresses
Primary practice location
565 Old Norcross Rd
Lawrenceville, GA 30046-4308
Mailing address
565 Old Norcross Rd
Lawrenceville, GA 30046-4308
Phone (770) 995-5131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046139 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David E Kim MD PC | Past | Accepting new patients | |
| The Healthcaring Clinic of Georgia, LLC | Family | Past | Accepting new patients |
| Jae Pak PC | Past | Accepting new patients | |
| Psychiatric Services of America | Past | Accepting new patients | |
| Salveo Integrative Health | Past | Accepting new patients |
Organizations & group practices 5
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.
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-
- Psychiatry Physician
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- NPI 1508087792
-
- Psychiatry Physician
- Lawrenceville, GA
- NPI 1548513211
-
- Family Nurse Practitioner
- Cartersville, GA
- NPI 1669539508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407715200000",
"number": "1043229537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 OLD NORCROSS RD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464308",
"telephone_number": "770-995-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 OLD NORCROSS RD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464308",
"telephone_number": "770-995-5131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "G.",
"middle_name": "DALE",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2014-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "046139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.