Active NPI
Maryn Hayward Deyoung, PA-C, MPH
- Physician Assistant
- Decatur, GA
National Provider Identifier
1801520564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11451
- Practice address
- 200 E Ponce de Leon Ave Ste 110
Decatur, GA 30030-3467 - Phone
- (404) 501-6363
- NPI assigned
- Jul 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11451 | GA | Primary |
Addresses
Primary practice location
200 E Ponce de Leon Ave Ste 110
Decatur, GA 30030-3467
Mailing address
200 E Ponce de Leon Ave Ste 110
Decatur, GA 30030-3467
Phone (404) 501-6363
Other names 1
- Maryn Burns Hayward
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Alabama School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medcura Health, Inc. | Current | Accepting new patients | |
| Medcura Health, Inc. | Current | Accepting new patients | |
| Medcura Health, Inc. | Past | Accepting new patients | |
| Medcura Health, Inc. | Past | Accepting new patients | |
| Dekalb Medical Primary Care Group LLC | Past | Accepting new patients |
Locations
5582 Memorial Dr
Stone Mountain, GA 30083
Phone (404) 513-9965
770 Village Square Dr
Stone Mtn, GA 30083
Phone (404) 298-7658
Interoperability endpoints
- maryn.hayward.1@9679.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Federally Qualified Health Center (FQHC)
- Stone Mountain, GA
- NPI 1417011487
-
- Federally Qualified Health Center (FQHC)
- Decatur, GA
- NPI 1144515354
-
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1811761448
-
- General Practice Physician
- Decatur, GA
- NPI 1104077171
-
- Federally Qualified Health Center (FQHC)
- Stone Mountain, GA
- NPI 1255779468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1801520564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E PONCE DE LEON AVE STE 110",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303467",
"telephone_number": "404-501-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E PONCE DE LEON AVE STE 110",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303467",
"telephone_number": "404-501-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEYOUNG",
"first_name": "MARYN",
"middle_name": "HAYWARD",
"credential": "PA-C, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-10",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "11451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARYN",
"last_name": "HAYWARD",
"middle_name": "BURNS",
"credential": "PA-C, MPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.