John Michael Young, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT002043 Issued in GA

Practice address

590 Cobb Ave NW # Md0201
Kennesaw, GA 30144-5563

Phone

(470) 578-7716

Fax

(470) 578-9029

NPI assigned

Oct 15, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1417823477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MOUNT VERNON LN",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895369",
            "telephone_number": "770-578-7716",
            "fax_number": "470-578-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 COBB AVE NW # MD0201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445563",
            "telephone_number": "470-578-7716",
            "fax_number": "470-578-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT002043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youfit Health Clubs
• Annisa Young
• Holly Stiehm Young, R.N., M.S., C.P.N.P.
• Jamie Townsend Young, ATC
• Jane Young
• Kimberly Brooke Young, PMHNP
• Robin K Young, DC
• Sarah Elizabeth Yount, MD
• Youthfulmd Integrative Health LLC
• Tyler Zack

• Athletic Trainer in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.