Individual provider Active NPI

Karl James Moo Young, D.O.

  • Internal Medicine Physician
  • Kennesaw, GA
National Provider Identifier
1346350683
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
103748 Issued in GA
Practice address
250 Chastain Rd NW Ste 210
Kennesaw, GA 30144-3214
Phone
(770) 422-0517
Fax
(770) 422-0517
NPI assigned
Aug 30, 2006
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 103748 GA Primary
Internal Medicine Physician 207R00000X 2008-01645 NC
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 103748 GA

Addresses

Primary practice location

250 Chastain Rd NW Ste 210
Kennesaw, GA 30144-3214

Mailing address

250 Chastain Rd NW Ste 210
Kennesaw, GA 30144-3214
Phone (770) 422-0517

Other practice location 1

128 E Broad St
Saint Pauls, NC 28384-1610
Phone (910) 865-5955

Other identifiers 2

IdentifierTypeStateIssuer
5910357MedicaidNC
150YKOtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081024000501 NC Practitioner - Undersea and Hyperbaric MedicinePractitioner - Internal Medicine 7810912086 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5128OHMDClinical Psychologist
103748GAMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hyperbaric Physicians of North Carolina PLLC Undersea and Hyperbaric Medicine CurrentSince Feb 24, 2024 Accepting new patients
Integrated Wound Specialists of North Carolina, PLLC Internal Medicine CurrentSince Sep 2, 2015 Accepting new patients
North Carolina Hyperbarics, LLC Undersea and Hyperbaric Medicine CurrentSince Sep 1, 2023 Accepting new patients
Partners Physician Group Past Accepting new patients
Southeastern Regional Medical Center Past Accepting new patients

Locations

1341 Canton Rd
Ste A
Marietta, GA 30066

3035 Boone Trail Ext
Ste A
Fayetteville, NC 28304
Phone (910) 900-3814

103 W 27th St
Lumberton, NC 28358
Phone (910) 671-5315

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1346350683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CHASTAIN RD NW STE 210",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443214",
            "telephone_number": "770-422-0517",
            "fax_number": "678-638-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CHASTAIN RD NW STE 210",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443214",
            "telephone_number": "770-422-0517",
            "fax_number": "770-422-0517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Saint Pauls",
            "state": "NC",
            "postal_code": "283841610",
            "country_code": "US",
            "telephone_number": "910-865-5955",
            "fax_number": "910-738-3764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOO YOUNG",
        "first_name": "KARL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "103748",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2008-01645",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "GA",
            "license": "103748",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910357",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "150YK",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.