Organization Active NPI

Perimeter Therapy Associates LLC

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1295044204
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2730 Issued in GA
Legal business name
PERIMETER THERAPY ASSOCIATES LLC
Practice address
1455 Lincoln Pkwy E Ste 300
Atlanta, GA 30346-2209
Phone
(678) 666-4717
NPI assigned
Sep 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Heather V Youngblood, LCSWNPI 1902085830
Title
Director
Phone
(678) 777-8744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2730 GA Primary

Addresses

Primary practice location

1455 Lincoln Pkwy E Ste 300
Atlanta, GA 30346-2209

Mailing address

1232 Minhinette Dr
Roswell, GA 30075-3623
Phone (678) 777-8744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101026001116 GA Part B Supplier - Clinic/Group Practice 9335332006 Receives reassigned benefits from 4 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

1455 Lincoln Pkwy E
Ste 240
Atlanta, GA 30346
Phone (678) 666-4717

1455 Lincoln Pkwy E
Ste 300
Atlanta, GA 30346
Phone (404) 449-6199

211 Perimeter Center Pkwy NE
Ste 910
Dunwoody, GA 30346
Phone (770) 350-3500

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1295044204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 MINHINETTE DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753623",
            "telephone_number": "678-777-8744",
            "fax_number": "404-201-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 LINCOLN PKWY E STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303462209",
            "telephone_number": "678-666-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIMETER THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-26",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "YOUNGBLOOD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-777-8744",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "2730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.