Milicent Eva Young, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

074634 Issued in GA

Practice address

4550 Cobb Parkway North NW Ste 201a
Acworth, GA 30101-4182

Phone

(770) 974-4655

Fax

(770) 974-7534

NPI assigned

Nov 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Heritage Hospice Inc

  • Community Based Hospice Care Agency
  • Marietta, GA
  • NPI 1275595415
  Medicare reassignment NPD

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1265415269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 COBB PARKWAY NW",
            "address_2": "SUITE 201A",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014182",
            "telephone_number": "770-974-4655",
            "fax_number": "770-974-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 COBB PARKWAY NORTH NW STE 201A",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014182",
            "telephone_number": "770-974-4655",
            "fax_number": "770-974-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MILICENT",
        "middle_name": "EVA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "39787",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "L5626",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "074634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155876904",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "myoung115289@directwellstar.org",
            "affiliation": "N",
            "address_1": "4550 Cobb Parkway North NW Ste 201A",
            "city": "Acworth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301014182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Wyatt
• Yaeiouy
• Dale Michael Yake, PT, DPT
• Halima Yamah
• Tamara Yancey, CRNA
• Philip Young
• Yourmove Physical Therapy and Sports Performance
• Mitchell Evan Zaplatosch, PHD, RD
• Annika Zenn
• Beverly Zidor, DDS

• Internal Medicine Physician in Acworth, GA
• Providers in Acworth, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.