PHILIP YOUNG (NPI# 1396192563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396192563 |
| Entity Type | Individual |
| Full Name | PHILIP YOUNG |
| Practice Address |
4841 Lake Park Lane Acworth GA 30101 |
| Practice Telephone | 4705784772 |
| Mailing Telephone | 4705784772 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT001847 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699929505 | Philip Ryan Young | Nurse Practitioner | 3904 Terrace Heights Drive, Suite D, Yakima, WA 98901-1568 | 2008-11-06 |
| 1982878419 | Philip Wayne Young II | Counselor | 2148 Glenhaven Dr, Lewisville, TX 75067-6174 | 2008-04-16 |
| 1679669782 | Philip A Young | Otolaryngology | 1810 116th Ave Ne Ste 102, Bellevue, WA 98004-3058 | 2006-10-05 |
| 1497778294 | Philip J Young | Dentist | 6715 Transit Rd, East Amherst, NY 14051-1485 | 2006-07-25 |
| 1821593351 | Philip Ryan Young | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Charlottesville, VA 22908-0816 | 2018-03-27 |
| 1083045066 | Philip Young | Psychologist | 1000 Brookhaven Dr, Aiken, SC 29803-2109 | 2013-12-02 |
| 1730300245 | Philip Andrew Young | Counselor | 425 Nw 7th St, Oklahoma City, OK 73102-2810 | 2007-05-01 |
| 1679602825 | Philip Eugene Young | Dentist | 4919 Douglas Ave, Suite 10, Des Moines, IA 50310-2775 | 2007-03-05 |
| 1992831531 | Philip John Young Sr. | Psychologist | 204 E Joppa Rd, Penthouse 16, Towson, MD 21286 | 2007-02-26 |
| Street Address |
4841 LAKE PARK LANE |
| City | ACWORTH |
| State | GA |
| Zip Code | 30101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931552 | A3j Incorporated | Registered Nurse | 3905 Cobb Pkwy Nw Ste 305, Acworth, GA 30101 | 2020-01-22 |
| 1043869852 | Sharron Leigh Lipscomb | Acupuncturist | 3661 Cedarcrest Rd Ste 320, Acworth, GA 30101 | 2019-09-05 |
| 1699322933 | Cowry Home Dialysis LLC | Durable Medical Equipment & Medical Supplies | 4450 Calibre Crossings Nw, Suite # 1122, Acworth, GA 30101 | 2019-08-21 |
| 1760979595 | Sandra Jeanetta Pugh | Counselor | 118 Clubhouse Crossing, Acworth, GA 30101 | 2018-04-17 |
| 1679926950 | Cindy Hatfield Fruits | Psychologist | 4839 N. Main Street, Acworth, GA 30101 | 2016-07-21 |
| 1770960619 | Karen Fuller | Marriage & Family Therapist | 2487 Cedarcrest Rd Ste 722, Acworth, GA 30101 | 2015-04-29 |
| 1366830333 | Willard Hogan IIi | Physician Assistant | 1720 Mars Hill Rd Nw Ste 8-175, Acworth, GA 30101 | 2014-12-29 |
| 1386042083 | Sebastian Diaz Fischer | Chiropractor | 2639 Hickory Grove Rd, Suit 150, Ackworth, GA 30101 | 2014-12-11 |
| 1841699337 | J Chappell Md PC | Dermatology | 4450 Calibre Crossings, Suite 1208, Acworth, GA 30101 | 2014-08-20 |
| 1982010120 | Acworth Center for Family Dentistry | Dentist | 3466 Cobb Pkwy, Suite 170, Acworth, GA 30101 | 2014-07-09 |
| Find all providers in zip 30101 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821563677 | Amanda Kristine Roberts | Specialist/Technologist | 1493 Highway 92, Acworth, GA 30102 | 2018-10-09 |
| 1730532334 | Joshua Michael Bush | Specialist/Technologist | 685 Braidwood Ter Nw, Acworth, GA 30101-3513 | 2016-07-19 |
| 1487043717 | Bryan Rivera | Specialist/Technologist | 3175 Souffle Ct, Acworth, GA 30101-6232 | 2015-01-09 |
| 1386058683 | Kyle Patrick | Specialist/Technologist | 1122 Regiment Dr Nw, Acworth, GA 30101-8462 | 2014-06-13 |
| 1376767210 | Tina Leah Davis | Specialist/Technologist | 4601 Saddle Gate Ln, Acworth, GA 30101-5286 | 2007-04-12 |
| 1194854612 | Michelle Hernandez Scott | Specialist/Technologist | 42 Moonshadow Way, Acworth, GA 30101-2619 | 2007-03-02 |
| 1780652388 | Ingrid Mary Grutzmacher | Specialist/Technologist | 5718 Fairwood Dr Nw, Acworth, GA 30101-7840 | 2006-03-09 |
| 1982210563 | Vrok Fitness LLC | Specialist/Technologist | 631 Oakside Pl, Acworth, GA 30102-8813 | 2020-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455959 | Mary Lee Richardson | Specialist/Technologist | 1591 Glenn Pl Sw, Mableton, GA 30126-1170 | 2020-10-25 |
| 1295332914 | Cayla Mckeon | Specialist/Technologist | 11 W 11th St Apt 17, Columbus, GA 31901-4239 | 2020-10-06 |
| 1205442472 | Si'ara Washington Farris | Specialist/Technologist | 564 Hillandale Park Dr, Lithonia, GA 30058-8833 | 2020-09-22 |
| 1033723150 | Grant Pheil | Specialist/Technologist | 3523 Old Penia Rd, Cordele, GA 31015-7714 | 2020-09-04 |
| 1376157933 | Jesus E Aviles | Specialist/Technologist | 755 Battery Ave Se, Atlanta, GA 30339-3017 | 2020-09-01 |
| 1588276943 | Jaden T Harris | Specialist/Technologist | 2205 Moncrieff St, Augusta, GA 30906-8905 | 2020-08-18 |
| 1891306437 | Tinasia Smalls | Specialist/Technologist | 100 Woodland Dr Apt 1416, Statesboro, GA 30458-6365 | 2020-08-16 |
| 1407467590 | Samantha Jean Libby | Specialist/Technologist | 2550 Akers Mill Rd Se Apt F14, Atlanta, GA 30339-3271 | 2020-08-12 |
| 1083224224 | John Christopher Hamil | Specialist/Technologist | 812 S Park St Ste 1, Carrollton, GA 30117-4412 | 2020-08-03 |
| 1780294926 | Andrew Alcantar | Specialist/Technologist | 7340 Fairmount Hwy Se, Calhoun, GA 30701-4023 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.