YOUTHFUL ESSENCE MD, LLC (NPI# 1467811265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467811265 |
| Entity Type | Organization |
| Organization Name | YOUTHFUL ESSENCE MD, LLC |
| Practice Address |
1230 Johnson Ferry Pl Suite A10 Marietta GA 30068-2048 |
| Practice Telephone | 6789030533 |
| Practice Fax Number | 6789030548 |
| Mailing Telephone | 6789030533 |
| Mailing Fax Number | 6789030548 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |
| Authorized Official Name | MS. FANNIE CLARK (REVENUE RECOVERY CONSULTANT) |
| Authorized Official Telephone | 6785319692 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 17323874 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1230 JOHNSON FERRY PL SUITE A10 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30068-2048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354185 | Alison Drake-barrack | Physical Medicine & Rehabilitation | 1230 Johnson Ferry Pl, Suite H 15, Marietta, GA 30068-2048 | 2005-05-27 |
| 1053942607 | Juliana Bernardo Da Silva Zardo | Registered Nurse | 1230 Johnson Ferry Pl, Marietta, GA 30068-2048 | 2020-02-03 |
| 1841703188 | Sinan N Feidy | Chiropractor | 1230 Johnson Ferry Pl, Marietta, GA 30068-2048 | 2017-11-08 |
| 1659823425 | Everwell Acupuncture Center LLC | Health Maintenance Organization | 1230 Johnson Ferry Pl, Suite I-20, Marietta, GA 30068-2048 | 2016-10-27 |
| 1689125395 | Sarah Richardson | Occupational Therapist | 1230 Johnson Ferry Pl, Suite G-10, Marietta, GA 30068-2048 | 2016-10-18 |
| 1629527775 | Everwell Acupuncture Center LLC | Health Maintenance Organization | 1230 Johnson Ferry Pl, Suite I-20, Marietta, GA 30068-2048 | 2016-09-30 |
| 1881053338 | Christina Hartmann | Occupational Therapist | 1230 Johnson Ferry Pl, Suite G-10, Marietta, GA 30068-2048 | 2016-02-12 |
| 1891169884 | Leslie Mcroberts | Occupational Therapist | 1230 Johnson Ferry Pl, Suite G-10, Marietta, GA 30068-2048 | 2015-11-14 |
| 1487036430 | Patricia Marie Williams | Physical Therapist | 1230 Johnson Ferry Pl, Suite G-10, Marietta, GA 30068-2048 | 2015-06-26 |
| 1548647480 | Alexis Marslender | Occupational Therapist | 1230 Johnson Ferry Pl, Suite G-10, Marietta, GA 30068-2048 | 2015-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
| 1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
| 1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
| 1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
| 1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
| 1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
| 1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
| 1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
| 1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
| Find all providers in zip 30068 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053885327 | Clinica De La Salud Smyrna, Inc | Family Medicine | 1815 S Cobb Dr Se Ste 101, Marietta, GA 30060-4958 | 2019-01-19 |
| 1033689351 | H&h Weight Loss LLC | Family Medicine | 3600 Dallas Hwy Sw Ste 210, Marietta, GA 30064-1687 | 2018-11-29 |
| 1801380886 | Virginia Hinton | Family Medicine | 1738 Bertram Ln Sw, Marietta, GA 30008-4138 | 2018-06-21 |
| 1285145573 | Mitchell Scott Nudelman | Family Medicine | 577 Seminole Dr Ne, Marietta, GA 30060-1507 | 2017-10-13 |
| 1740649771 | Christine Morris | Family Medicine | 141 Lacy St Nw Ste 100, Marietta, GA 30060-1117 | 2016-02-18 |
| 1891110268 | Edith I. Okoi Chukwunyere | Family Medicine | 2337 Goodwood Dr Sw, Marietta, GA 30064-4335 | 2014-02-21 |
| 1629407549 | Candace M. Walker | Family Medicine | 3707 Largent Way, Well Star West Cobb Family Practice, Marietta, GA 30064 | 2013-11-01 |
| 1982959987 | Norman Glenn Marvin | Family Medicine | 4220 Lower Roswell Rd, Unit #7300, Marietta, GA 30068-4128 | 2012-07-17 |
| 1457626855 | Gena Marie Mastrogianakis | Family Medicine | 3595 Canton Rd Ste 116-289, Marietta, GA 30066-2658 | 2012-03-19 |
| 1710271010 | Roland Ngwang | Family Medicine | 2698 Foxglove Dr Sw, Marietta, GA 30064-4546 | 2011-06-03 |
| Find all providers in MARIETTA | ||||
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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.