Active NPI
Karl James Moo Young, D.O.
- Internal Medicine Physician
- Kennesaw, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 103748
- 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, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5910357 | Medicaid | NC | |
| 150YK | Other | NC | BCBS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5128 | OH | MD | Clinical Psychologist |
| 103748 | GA | MD | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyperbaric Physicians of North Carolina PLLC | Undersea and Hyperbaric Medicine | Current | Accepting new patients |
| Integrated Wound Specialists of North Carolina, PLLC | Internal Medicine | Current | Accepting new patients |
| North Carolina Hyperbarics, LLC | Undersea and Hyperbaric Medicine | Current | 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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Pinehurst, NC
- NPI 1558666776
Internal Medicine
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Fayetteville, NC
- NPI 1225808041
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Fayetteville, NC
- NPI 1841792538
-
dba Community Access and Wellness - HWE
- Public Health & General Preventive Medicine Physician
- Akron, OH
- NPI 1164814414
-
dba Southeastern Hospitalists
- Hospitalist Physician
- Lumberton, NC
- NPI 1659531952
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.