Shirley Youngblood, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN053003 Issued in GA

Practice address

56 Hospital Street
Hiawassee, GA 30546

Phone

(706) 896-2289

Fax

(706) 896-6007

NPI assigned

Sep 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16895/brand/1/csg/1/fhir/r4
• Direct secure messaging: shirley.youngblood.1@16895.direct.athenahealth.com

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

• Chatuge Regional Hospital Inc

  dba Chatuge Regional Nursing Home

  • Skilled Nursing Facility
  • Hiawassee, GA
  • NPI 1043287303
  NPD (past)
• Chatuge Regional Hospital Inc

  dba Chatuge Medical Group

  • Internal Medicine Physician
  • Hiawassee, GA
  • NPI 1265811962
  NPD (past)
• Chatuge Regional Hospital Inc

  • Critical Access Hospital
  • Hiawassee, GA
  • NPI 1326028978
  NPD (past)
• Hiawassee Family Practice P C

  • Family Medicine Physician
  • Hiawassee, GA
  • NPI 1285706879
  NPD (past)
• Hillcrest Clinic, LLC

  dba Hillcrest Clinic & Imaging

  • Family Medicine Physician
  • Blairsville, GA
  • NPI 1831370188
  NPD (past)
• Jay S Cochran MD PC

  • General Practice Physician
  • Hiawassee, GA
  • NPI 1962579268

  Nurse Practitioner

  NPD (past)
• Medlink Georgia, Inc

  dba MedLink Commerce Family Foot Clinic

  • Podiatric Clinic/Center
  • Commerce, GA
  • NPI 1619627460
  NPD (past)
• North Georgia Medicine LLC

  dba North Georgia Family Medicine

  • Family Medicine Physician
  • Blairsville, GA
  • NPI 1972766459
  NPD (past)
• Piedmont Cardiology of Atlanta, LLC

  dba Piedmont Heart Institute

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1275729691
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073611059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305460409",
            "telephone_number": "706-896-2289",
            "fax_number": "706-896-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 HOSPITAL STREET",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "30546",
            "telephone_number": "706-896-2289",
            "fax_number": "706-896-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "SHIRLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN053003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "7003727",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cooper White, PHARMD
• Mark W. Wightman
• Sean E Williamson, LCSW
• Worthy Family Dentistry, P.C.
• Michael R. Worthy, D.M.D.

• Nurse Practitioner in Hiawassee, GA
• Providers in Hiawassee, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.