Active NPI
Gisele Youth, DPM
- Podiatrist
- Atlanta, GA
National Provider Identifier
1710447537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- POD001522
- Practice address
- 550 Peachtree St. NE
Ste 1960
Atlanta, GA 30308-2225 - Phone
- (045) 891-3304
- Fax
- (404) 589-1387
- NPI assigned
- Mar 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | POD001522 | GA | Primary |
Addresses
Primary practice location
550 Peachtree St. NE
Ste 1960
Atlanta, GA 30308-2225
Mailing address
PO Box 108
Dallas, GA 30132-0003
Phone (678) 426-2171
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230419000240 | GA | Practitioner - Podiatry | 0749655090 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD001522 | GA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1710447537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 108",
"city": "DALLAS",
"state": "GA",
"postal_code": "301320003",
"telephone_number": "678-426-2171",
"fax_number": "615-269-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST. NE",
"address_2": "STE 1960",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082225",
"telephone_number": "045-891-3304",
"fax_number": "404-589-1387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUTH",
"first_name": "GISELE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-20",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "GA",
"license": "POD001522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.