Organization Active NPI

Young Professional Consulting LLC

  • General Practice Physician
  • Lilburn, GA
National Provider Identifier
1699484667
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
YOUNG PROFESSIONAL CONSULTING LLC
Practice address
3100 Five Forks Trickum Rd SW Ste 503
Lilburn, GA 30047-1888
Phone
(678) 909-9035
NPI assigned
Nov 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Tasha Young, RNNPI 1295119832
Title
Cno
Phone
(678) 909-9035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

3100 Five Forks Trickum Rd SW Ste 503
Lilburn, GA 30047-1888

Mailing address

1450 W Peachtree St. NW 200
Unite 25349
Atlanta, GA 30309
Phone (678) 909-9035

Other names 1

  • CareIntegra Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1699484667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W PEACHTREE ST. NW 200",
            "address_2": "UNITE 25349",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30309",
            "telephone_number": "678-909-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 FIVE FORKS TRICKUM RD SW STE 503",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300471888",
            "telephone_number": "678-909-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG PROFESSIONAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "CNO",
        "authorized_official_telephone_number": "678-909-9035",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareIntegra",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.