Individual provider Active NPI

Jennifer Ellen Young, MSM, PA-C

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1093063380
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8327 Issued in GA
Practice address
1800 Howell Mill Rd NW Ste 500
Atlanta, GA 30318-2594
Phone
(404) 367-3350
NPI assigned
Aug 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA07823 TX
Physician Assistant 363A00000X 8327 GA Primary

Addresses

Primary practice location

1800 Howell Mill Rd NW Ste 500
Atlanta, GA 30318-2594

Mailing address

2227 Plantation Dr
East Point, GA 30344-2118
Phone (615) 513-7804

Other practice location 1

5555 Peachtree Dunwoody Rd Ste 293
Atlanta, GA 30342-1711
Phone (770) 962-1616

Other practice location 2

4850 Sugarloaf Pkwy Ste 501
Lawrenceville, GA 30044-2864
Phone (770) 962-1616

Other practice location 3

1305 Hembree Rd Ste 101
Roswell, GA 30076-3810
Phone (770) 962-1616

Other practice location 4

5271 Lawrenceville Hwy NW Ste A
Lilburn, GA 30047-5922
Phone (770) 962-1616

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
I20200314000408 GA Practitioner - Physician Assistant 1658529284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Providers LLC 526 clinicians

Practice addresses (Care Compare)

1800 Howell Mill Rd
Suite 500
Atlanta, GA 30318-2594
Phone (404) 425-7310

1984 Peachtree Rd NW
Suite 300
Atlanta, GA 30309-5219
Phone (404) 367-3210

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Consultants, PA Past Accepting new patients

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 1

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": "1345161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1093063380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 PLANTATION DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303442118",
            "telephone_number": "615-513-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182594",
            "telephone_number": "404-367-3350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 Peachtree Dunwoody Rd Ste 293",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421711",
            "country_code": "US",
            "telephone_number": "770-962-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4850 Sugarloaf Pkwy Ste 501",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300442864",
            "country_code": "US",
            "telephone_number": "770-962-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Hembree Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300763810",
            "country_code": "US",
            "telephone_number": "770-962-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5271 Lawrenceville Hwy NW Ste A",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300475922",
            "country_code": "US",
            "telephone_number": "770-962-1616",
            "fax_number": "770-962-7977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JENNIFER",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "MSM, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-17",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA07823",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.