Individual provider Active NPI

Kimberly Hundgen Young, WHNP

  • Women's Health Nurse Practitioner
  • Roswell, GA
National Provider Identifier
1689267437
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN268437 Issued in GA
Practice address
11660 Alpharetta Hwy Ste 700
Roswell, GA 30076-4956
Phone
(404) 495-5394
Fax
(678) 666-5201
NPI assigned
Feb 12, 2021
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN268437 GA Primary

Addresses

Primary practice location

11660 Alpharetta Hwy Ste 700
Roswell, GA 30076-4956

Mailing address

11660 Alpharetta Hwy Ste 700
Roswell, GA 30076-4956
Phone (706) 389-9228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230203001381 GA Practitioner - Nurse Practitioner 4385016187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Gynecology PCGroup PAC ID 0143568634, 11 clinicians

Practice addresses (Care Compare)

11660 Alpharetta Hwy
Suite 710
Roswell, GA 30076-4916
Phone (678) 344-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN268437GAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Gynecology PC CurrentSince Jun 2, 2025 Accepting new patients
Advanced Gynecology PC Current Accepting new patients
Advanced Gynecology PC CurrentSince Jun 2, 2025 Accepting new patients

Locations

11660 Alpharetta Hwy
Ste 710
Roswell, GA 30076
Phone (404) 495-5394

1357 Oconee Connector
Watkinsville, GA 30677
Phone (248) 988-3550

Interoperability endpoints

  • Direct secure messaging: kimberly.young.1@32908.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1689267437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY STE 700",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764956",
            "telephone_number": "706-389-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY STE 700",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764956",
            "telephone_number": "404-495-5394",
            "fax_number": "678-666-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KIMBERLY",
        "middle_name": "HUNDGEN",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN268437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.