Earl Y Young, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

046338 Issued in GA

Practice address

915 Thornton Rd
Lithia Springs, GA 30122

Phone

(770) 739-9292

Fax

(770) 948-9126

NPI assigned

May 15, 2006

Last updated

Aug 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• West Atlanta Pediatrics, P.C.

  • Pediatrics Physician
  • Lithia Springs, GA
  • NPI 1437362225
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1881645661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 THORNTON RD",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "30122",
            "telephone_number": "770-739-9292",
            "fax_number": "770-948-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 THORNTON RD",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "30122",
            "telephone_number": "770-739-9292",
            "fax_number": "770-948-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "EARL",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "046338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543260909B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543260909A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misheae Athea Wilson
• Wise Medical Staffing, Inc.
• Sarah Elizabeth Wishon, PA-C, MMSC
• Wyatt's RX LLC (Wyatt's Pharmacy)
• Jacqueline Wynter, OTR/L
• Freddie Young
• Jeanette M. Young, D.D.S.
• Shermica Young, RN
• Ratidzo Macharaga Zgambo, OD
• ZZ Logistics LLC (ZZ Logistics Transport)

• Pediatrics Physician in Lithia Springs, GA
• Providers in Lithia Springs, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.