YOUTHFUL MD LLC – NPI #1982244463
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

YOUTHFUL MD LLC is a provider located in ALPHARETTA, GA. NPPES has assigned the NPI number 1982244463 to YOUTHFUL MD LLC on January 13, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Jun 24, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for YOUTHFUL MD LLC below.

NPI Profile for
YOUTHFUL MD LLC

NPI Number
1982244463
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
YOUTHFUL MD LLC
Primary location
10595 OLD ALABAMA RD CON
# 9A
ALPHARETTA, GA 30022
Phone: (855) 411-2225 Fax: (800) 814-3301
Mailing address
245 STEEPLE POINT DR
ROSWELL, GA 30076-5521
Phone: (770) 695-5500 Fax: (800) 814-3301
Organization Subpart
No
Authorized Official
OFFER DANAN
CEO
Phone: (770) 695-5500
Updated
Certification Date
Jun 24, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.