Provider Demographics
NPI:1033726179
Name:YOUNG HEALTHCARE ASSOCIATES & CO.
Entity type:Organization
Organization Name:YOUNG HEALTHCARE ASSOCIATES & CO.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANTE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:678-357-2682
Mailing Address - Street 1:390 DARIEN DR
Mailing Address - Street 2:
Mailing Address - City:SENOIA
Mailing Address - State:GA
Mailing Address - Zip Code:30276-3609
Mailing Address - Country:US
Mailing Address - Phone:678-357-2682
Mailing Address - Fax:551-214-0934
Practice Address - Street 1:3755 MAIN ST UNIT 101
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30337-3543
Practice Address - Country:US
Practice Address - Phone:678-632-5331
Practice Address - Fax:551-214-0934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty