Clayton D Young (NPI# 1184003980, PAC ID# 5294045886) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1184003980 |
| PAC ID by PECOS | 5294045886 |
| Professional Enrollment ID | I20151111001252 |
| Full Name | Clayton D Young |
| Organization Legal Name | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| Address |
1200 Northside Forsyth Dr Cumming GA 30041-7659 |
| Phone Number | 7708443200 |
| Gender | M |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9739189838 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110005 | NORTHSIDE HOSPITAL FORSYTH |
| 110008 | NORTHSIDE HOSPITAL CHEROKEE |
| 110161 | NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1000 Johnson Ferry Rd, Suite 780, Atlanta, GA 30342-1606 | 4048516198 | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 7708443200 | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| 1285 Upper Hembree Rd, Roswell, GA 30076-1143 | 7703438565 | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| Organization Legal Name | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max M Benson | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| Stacy Ann Cartmell | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Rebecca Radke | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | 993 Johnson Ferry Rd, Suite C120, Atlanta, GA 30342-4748 |
| Mary E Bergh | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Niraj Sharma | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | 3000 Hospital Blvd, Roswell, GA 30076-4915 |
| Faresa Z Weragoda | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | 4800 Olde Towne Pkwy, Suite 420, Marietta, GA 30068-4424 |
| Yirima Simon | Physician Assistant | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Lois A Fairfield | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | 3000 Hospital Blvd, Roswell, GA 30076-4915 |
| Aashish Desai | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Carolyn M Moore | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Street Address |
1200 NORTHSIDE FORSYTH DR |
| City | CUMMING |
| State | GA |
| Zip | 30041-7659 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arinze H Duru | Internal Medicine | North Atlanta Professional Services LLC | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Deedee T Diep | Family Medicine | North Atlanta Professional Services LLC | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Jeffrey Desalvo | Hospitalist | North Atlanta Professional Services LLC | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Samson Tadesse | Internal Medicine | North Atlanta Professional Services LLC | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Staci C Hofius | Certified Registered Nurse Anesthetist (crna) | Northside Anesthesiology Consultants, LLC | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Soujanya Chava | Internal Medicine | North Atlanta Professional Services LLC | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Thomas L Burress | Anesthesiology | Northside Anesthesiology Consultants, LLC | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Rachel E Blanchard | Internal Medicine | North Atlanta Professional Services LLC | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Rogers Ha | Internal Medicine | North Atlanta Professional Services LLC | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Anthony Kimani Mwangi | Pulmonary Disease | Northside Primary Care Professional Services,llc | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max M Benson | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| William G Littlefield | Hand Surgery | Peachtree Orthopaedic Clinic Pa | 1505 Northside Boulevard, Suite 3100, Cummings, GA 30041 |
| Neil Tarabadkar | Orthopedic Surgery | Peachtree Orthopaedic Clinic Pa | 1505 Northside Boulevard, Suite 3100, Cummings, GA 30041 |
| Amit Tibrewala | Internal Medicine | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| Kurt B Tompkins | Chiropractic | Tompkins Family Chiropractic Inc. | 1485 Peachtree Pkwy, Suite D7, Cumming, GA 30041-0500 |
| Eric W Tompkins | Chiropractic | Tompkins Family Chiropractic Inc. | 1485 Peachtree Pkwy, Suite D7, Cumming, GA 30041-0500 |
| Eli M Goldsmith | Chiropractic | 5285 Lake Pointe Ctr Dr, Suite B, Cumming, GA 30041-0901 | |
| Dominik Alan Shannon | Physical Therapy | Benchmark Physical Therapy, Inc | 1370 Buford Hwy 108, Cumming, GA 30041-2723 |
| Dwarakinath Harish | Nephrology | 1445 Haw Creek Cir, Suite 504, Cumming, GA 30041-2723 | |
| Coleen Rodney Brown | Physical Therapy | Benchmark Physical Therapy, Inc | 1370 Buford Hwy 108, Cumming, GA 30041-2723 |
| Find all physicians in zip 30041 | |||
| City | CUMMING |
| Zip Code | 30041 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CUMMING + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Clayton D Young.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.