Berkeley Family Medicine Associates, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

060342 Issued in GA

Legal business name

BERKELEY FAMILY MEDICINE ASSOCIATES, LLC

Practice address

3800 Pleasant Hill Rd
Suite 5
Duluth, GA 30096-1428

Phone

(770) 622-2566

Fax

(770) 622-0828

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Shirley Zhang Young, M.D.NPI 1558547968

Title

Officer

Phone

(770) 622-2566

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/bf5eb65c-cdc6-4156-8349-5fcd9a13f4a2/

Practitioners 1

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

• Shirley Z Young, MD

  • Family Medicine Physician
  • Duluth, GA
  • NPI 1558547968
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1346428372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 PLEASANT HILL RD",
            "address_2": "SUITE 5",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961428",
            "telephone_number": "770-622-2566",
            "fax_number": "770-622-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 PLEASANT HILL RD",
            "address_2": "SUITE 5",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961428",
            "telephone_number": "770-622-2566",
            "fax_number": "770-622-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY FAMILY MEDICINE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "ZHANG",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "770-622-2566",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "060342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.