Individual provider Active NPI

Aaron D Young, DC

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1386245249
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010318 Issued in GA
Practice address
860 Baltimore PL SW
Marietta, GA 30064-3959
Phone
(267) 566-8029
NPI assigned
Nov 5, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010318 GA Primary

Addresses

Primary practice location

860 Baltimore PL SW
Marietta, GA 30064-3959

Mailing address

860 Baltimore PL SW
Marietta, GA 30064-3959
Phone (267) 566-8029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221019000064 GA Practitioner - Chiropractic 6800262643 Reassigns benefits to 1 organization
I20260602003860 PA Practitioner - Chiropractic 6800262643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

907 Easton Rd
Willow Grove, PA 19090-2051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010318GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eaton Chiropractic Center, PC Chiropractor CurrentSince Sep 1, 2022 Accepting new patients
Markham Chiropractic Center Chiropractor Past Accepting new patients

Locations

2847 S Main St NW
Kennesaw, GA 30144
Phone (770) 429-9733

1925 Vaughn Rd NW
Ste 220
Kennesaw, GA 30144
Phone (770) 429-9733

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1386245249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 BALTIMORE PL SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643959",
            "telephone_number": "267-566-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BALTIMORE PL SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643959",
            "telephone_number": "267-566-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "AARON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.