Individual provider Active NPI

William Daniel Youngblood, RN

  • Nurse Practitioner
  • Bessemer, AL
National Provider Identifier
1144082272
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN340212 Issued in GA
Practice address
995 9TH Ave SW
Bessemer, AL 35022-4527
Phone
(205) 481-7000
NPI assigned
Jan 24, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN340212 GA Primary

Addresses

Primary practice location

995 9TH Ave SW
Bessemer, AL 35022-4527

Mailing address

302 Sluss Farm Rd
Jasper, GA 30143-1428
Phone (662) 242-0501

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
I20260204004014 GA Practitioner - Nurse Practitioner 9537648118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1025 E W Connector
Suite 520
Austell, GA 30106-8532
Phone (678) 273-3071

12201 Hwy 92
Suite D
Woodstock, GA 30188-7141
Phone (770) 517-4621

4477 Towne Lake Pkwy
Suite 130
Woodstock, GA 30189-6720
Phone (770) 249-5620

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

780 Church St NE
Marietta, GA 30060-7269

8901 Stonebridgde Blvd
Suite 100
Douglasville, GA 30134-2253
Phone (943) 202-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN340212GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Locations

4550 Cobb Parkway North NW
Ste 101
Acworth, GA 30101
Phone (470) 956-0100

120 Greystone Power Blvd
Ste 110
Dallas, GA 30157
Phone (470) 267-1540

3980 Jiles Rd NW
Kennesaw, GA 30144
Phone (678) 504-0100

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1550 Kennesaw Due West Rd NW
Kennesaw, GA 30152
Phone (770) 423-9525

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1144082272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 SLUSS FARM RD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431428",
            "telephone_number": "662-242-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 9TH AVE SW",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224527",
            "telephone_number": "205-481-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "WILLIAM",
        "middle_name": "DANIEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-24",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN340212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.