Active NPI
Xiangdong You
- Internal Medicine Physician
- Douglasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 050465
- Practice address
- 6025 Professional Pkwy
Suite 102
Douglasville, GA 30134-5609 - Phone
- (770) 489-5000
- Fax
- (770) 489-0305
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 050465 | GA | Primary |
Addresses
Primary practice location
6025 Professional Pkwy
Suite 102
Douglasville, GA 30134-5609
Mailing address
6025 Professional Pkwy
Suite 102
Douglasville, GA 30134-5609
Phone (770) 489-5000
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000934007E | Medicaid | GA | |
| 04-03355 | Other | GA | UHC |
| 201354919 | Other | GA | PHCS |
| 201354919 | Other | GA | MULTIPLAN |
| 21232609899 | Other | GA | BEECH STREET |
| 201354919 | Other | GA | COVENTRY |
| 6104 | Other | GA | KAISER |
| 7676325 | Other | GA | AETNA |
| 320129 | Other | GA | WELLCARE OF GEORGIA |
| 52895315 | Other | GA | BCBS |
| P00242355 | Other | GA | MEDICARE RAILROAD |
| 201354919 | Other | GA | HUMANA |
| 201354919 | Other | GA | SOUTHCARE |
| 3462913 | Other | GA | CIGNA |
| 782253003 | Other | GA | GREAT-WEST |
| 201354919 | Other | GA | HUMANA GOLD CHOICE |
| 2089568 | Other | GA | FIRST HEALTHCARE |
Other names 1
- N/a N/a
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4904 Timber Ridge Dr
Suite 303
Douglasville, GA 30135-2888
Phone (770) 489-5000
Hospital & facility affiliations
- Central Home Health Care, an Amedisys Company
- Wellstar Douglas Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Classicare Medical Consult PC, Inc | Internal Medicine | Current | Accepting new patients |
| Leeway Medical Group, P.C. | Internal Medicine | Past | Accepting new patients |
| Wellstar Health System, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
6025 Professional Pkwy
Ste 102
Douglasville, GA 30134
Phone (770) 489-5000
4904 Timber Ridge Dr
Ste 303
Douglasville, GA 30135
Phone (770) 489-5000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DBBCBA/Endpoint/DBBCBA
Organizations & group practices 3
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
- Douglasville, GA
- NPI 1922130012
-
- Internal Medicine Physician
- Douglasville, GA
- NPI 1598857229
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Douglasville, GA
- NPI 1437117090
-
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326067200000",
"number": "1962428870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6025 PROFESSIONAL PKWY",
"address_2": "SUITE 102",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301345609",
"telephone_number": "770-489-5000",
"fax_number": "770-489-0305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6025 PROFESSIONAL PKWY",
"address_2": "SUITE 102",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301345609",
"telephone_number": "770-489-5000",
"fax_number": "770-489-0305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOU",
"first_name": "XIANGDONG",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2012-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "050465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000934007E",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "04-03355",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "201354919",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "201354919",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "21232609899",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "201354919",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "6104",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7676325",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE OF GEORGIA",
"identifier": "320129",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52895315",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00242355",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "201354919",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHCARE",
"identifier": "201354919",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3462913",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT-WEST",
"identifier": "782253003",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA GOLD CHOICE",
"identifier": "201354919",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTHCARE",
"identifier": "2089568",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "N/A",
"last_name": "N/A",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.