Individual provider Active NPI

Marcia Younker, APRN

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Jackson, GA
National Provider Identifier
1609183755
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
RN086363 Issued in GA
Practice address
825 S Mulberry St
D
Jackson, GA 30233-2474
Phone
(404) 915-3362
Fax
(770) 631-1916
NPI assigned
Sep 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X RN086363 GA Primary

Addresses

Primary practice location

825 S Mulberry St
D
Jackson, GA 30233-2474

Mailing address

140 Bridger Point Rd
Fayetteville, GA 30215-5213
Phone (404) 915-3362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 21, 2024 through Mar 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
RN086363GAMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Suvrat J Bhargave MD PC Past Accepting new patients
Center for Family Psychiatry Past Accepting new patients

Organizations & group practices 2

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": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1609183755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BRIDGER POINT RD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302155213",
            "telephone_number": "404-915-3362",
            "fax_number": "770-631-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S MULBERRY ST",
            "address_2": "D",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302332474",
            "telephone_number": "404-915-3362",
            "fax_number": "770-631-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNKER",
        "first_name": "MARCIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN086363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, GA

Sources for this page

Verify at the official NPI Registry.