Barbar A Young, PA
Individual provider Active NPI Medical Physician Assistant · Decatur, GA
NPI 1437299773 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1437299773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 002879 (GA)
- Practice address
- 3290 Memorial Dr Ste B3
Decatur, GA 30032-3400 - Phone
- (404) 534-9692
- Fax
- (404) 534-9934
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002879 | GA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Health & Rehab Center Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 002879 | GA | Yes |
Addresses
Primary practice location
3290 Memorial Dr Ste B3
Decatur, GA 30032-3400
Mailing address
3290 Memorial Dr Ste B3
Decatur, GA 30032-3400
Phone (404) 534-9692
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GA LICENSE | Other | GA | 002879 |
Other providers in Decatur, GA
- You and Me Corp
- Young Folk Psychological Services, LLC
- Young Life Enterprise LLC
- Alexis Young
- Antonia Young
- Elizabeth Wilder Young
- Jennifer Young
- Paula Lynn Young
- Priscilla L. Young
- Samuel Lee Young II
All providers in Decatur, GA · Medical Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.