Individual provider Active NPI

Young Williams IV, PA-C

  • Medical Physician Assistant
  • Alpharetta, GA
National Provider Identifier
1801487111
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
3180 N Point Pkwy
Alpharetta, GA 30005-4248
Phone
(404) 800-5181
NPI assigned
Jan 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

3180 N Point Pkwy
Alpharetta, GA 30005-4248

Mailing address

48 Dorset LN
Dallas, GA 30157-2680
Phone (678) 938-8720

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
I20210331000522 GA Practitioner - Physician Assistant 1658788096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

3805 Cherokee NWST
Kennesaw, GA 30144-2085
Phone (770) 426-5665

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Global Medical Services of Ga LLC CurrentSince May 1, 2023 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

1801 Peachtree St NE
Ste 300
Atlanta, GA 30309

10475 Medlock Bridge Rd
Ste 820
Johns Creek, GA 30097
Phone (678) 224-8686

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

3805 Cherokee St NW
Kennesaw, GA 30144
Phone (770) 426-5665

3052 Shallowford Rd
#100
Marietta, GA 30062
Phone (770) 240-0923

3020 Holcomb Bridge Rd
Norcross, GA 30071
Phone (678) 626-1868

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGDGDD

Organizations & group practices 4

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": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1801487111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 DORSET LN",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301572680",
            "telephone_number": "678-938-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 N POINT PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054248",
            "telephone_number": "404-800-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "YOUNG",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.