Active NPI
Clifton G Youngblood, MD
- Obstetrics & Gynecology Physician
- Demorest, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036050
- Practice address
- 541 Historic Highway 441 North
Demorest, GA 30535 - Phone
- (706) 839-4000
- NPI assigned
- Oct 25, 2006
- Last updated
- Apr 8, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036050 | GA | Primary |
Addresses
Primary practice location
541 Historic Highway 441 North
Demorest, GA 30535
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
81 Upper Riverdale Rd
Suite 210
Riverdale, GA 30274-2627
Phone (770) 996-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00509781D | Medicaid | GA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Alabama School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (678) 604-1000
81 Upper Riverdale Rd SW
Riverdale, GA 30274-2627
Phone (770) 996-1200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036050 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Southeast Permanente Medical Group | Obstetrics & Gynecology | Current | Accepting new patients |
| Piedmont Providers LLC | Current | Accepting new patients | |
| My OBGYN PC | Current | Accepting new patients | |
| Northeast Georgia Physicians Group Inc | Current | Accepting new patients | |
| Piedmont Henry Hospital, Inc. | Past | Accepting new patients |
Locations
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
335 Upper Riverdale Rd
Ste C13
Jonesboro, GA 30236
Phone (770) 996-1200
81 Upper Riverdale Rd SW
Ste 210
Riverdale, GA 30274
Phone (770) 996-1200
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
Interoperability endpoints
- clifton.youngblood.1@27053.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Riverdale, GA
- NPI 1669534210
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
-
dba Southern Regional Medical Center
- General Acute Care Hospital
- Riverdale, GA
- NPI 1154795581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1275617078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420",
"fax_number": "770-907-7492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 HISTORIC HIGHWAY 441 NORTH",
"city": "DEMOREST",
"state": "GA",
"postal_code": "30535",
"telephone_number": "706-839-4000"
}
],
"practiceLocations": [
{
"address_1": "81 Upper Riverdale Rd",
"address_2": "Suite 210",
"address_purpose": "LOCATION",
"city": "Riverdale",
"state": "GA",
"postal_code": "302742627",
"country_code": "US",
"telephone_number": "770-996-1200",
"fax_number": "770-907-7492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNGBLOOD",
"first_name": "CLIFTON",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2025-04-08",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "036050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00509781D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Demorest, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.