Young An
SOUTH ATLANTA EAR NOSE AND THROAT PC


Address: 1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565
Phone: 6785343309

Young An (NPI# 1003808593, PAC ID# 6305888603) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.

Physician Overview

Nation Provider ID (NPI) 1003808593
PAC ID by PECOS 6305888603
Professional Enrollment ID I20050526000464
Full Name Young An
Organization Legal Name SOUTH ATLANTA EAR NOSE AND THROAT PC
Address 1240 Hwy 54 W
Bldg 700 Suite 710
Fayetteville
GA 30214-4565
Phone Number 6785343309
Gender M
Credential MD
Medical School UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER
Graduation Year 2000
Primary Specialty OTOLARYNGOLOGY
Group Practice PAC ID 7113908302
Number of Group Practice Members 15
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110161 NORTHSIDE HOSPITAL
110215 PIEDMONT FAYETTE HOSPITAL
110076 DEKALB MEDICAL CENTER
110191 PIEDMONT HENRY HOSPITAL

Other Locations

Address Phone Organization
1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565 6785343309 SOUTH ATLANTA EAR NOSE AND THROAT PC
830 Eagles Landing Pkwy, Suite 102, Stockbridge, GA 30281-7366 6785343309 SOUTH ATLANTA EAR NOSE AND THROAT PC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%

Organization Information

Organization Legal Name SOUTH ATLANTA EAR NOSE AND THROAT PC
Physicians 17

Physicians with the same organization

Name Specialty Organization Address
Kristy M Loftin Moening Audiologist South Atlanta Ear Nose and Throat PC 830 Eagles Landing Pkwy, Suite 102, Stockbridge, GA 30281-7366
Adrienne L Bowman Qualified Audiologist South Atlanta Ear Nose and Throat PC 1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565
Dozier Hood Otolaryngology South Atlanta Ear Nose and Throat PC 1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565
Carolyn A Hornberger Qualified Audiologist South Atlanta Ear Nose and Throat PC 1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565
Howard K Herman Otolaryngology South Atlanta Ear Nose and Throat PC 1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565
Michelle L Dupont Physician Assistant South Atlanta Ear Nose and Throat PC 1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565
Rula Billeh Qualified Audiologist South Atlanta Ear Nose and Throat PC 1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565
Christina Z Luczynski Qualified Audiologist South Atlanta Ear Nose and Throat PC 1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565
Danko Cerenko Otolaryngology South Atlanta Ear Nose and Throat PC 1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565
Lindsay Johnson Katz Qualified Audiologist South Atlanta Ear Nose and Throat PC 1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565

Office Location

Street Address 1240 HWY 54 W
BLDG 700 SUITE 710
City FAYETTEVILLE
State GA
Zip 30214-4565

Physicians in the same location

Name Specialty Organization Address
Adrienne L Bowman Qualified Audiologist South Atlanta Ear Nose and Throat PC 1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565
Dozier Hood Otolaryngology South Atlanta Ear Nose and Throat PC 1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565
Carolyn A Hornberger Qualified Audiologist South Atlanta Ear Nose and Throat PC 1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565
Howard K Herman Otolaryngology South Atlanta Ear Nose and Throat PC 1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565
Michelle L Dupont Physician Assistant South Atlanta Ear Nose and Throat PC 1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565
Rula Billeh Qualified Audiologist South Atlanta Ear Nose and Throat PC 1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565
Christina Z Luczynski Qualified Audiologist South Atlanta Ear Nose and Throat PC 1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565
Francis L Mccafferty Allergy/immunology Atlanta Allergy and Asthma, Pa 1240 Hwy 54 W, Bldg 300 Suite 310, Fayetteville, GA 30214-4563
Danko Cerenko Otolaryngology South Atlanta Ear Nose and Throat PC 1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565
Lindsay Johnson Katz Qualified Audiologist South Atlanta Ear Nose and Throat PC 1240 Hwy 54 W, Bldg 700 Suite 710, Fayetteville, GA 30214-4565
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Physicians in the same zip code

Name Specialty Organization Address
Megan Massey Nurse Practitioner Piedmont Providers LLC 1279 Hwy 54 W, Suite 100, Fayetteville, GA 30214
Connie T Dupre Internal Medicine Piedmont Medical Care Corporation 1267 W Hwy 54, Suite 5200, Fayetteville, GA 30214
Gregory Valentine Family Medicine 874 Lanier W Ave, Suite 210, Fayetteville, GA 30214
Byron F Harper Internal Medicine 106 Governors Square Prkwy, Fayetteville, GA 30214
Kayona Jones Moreland Nurse Practitioner Piedmont Cardiology of Atlanta, LLC 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214
Paul Constantine Karagiannis Cardiovascular Disease (cardiology) Piedmont Cardiology of Atlanta, LLC 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214
Kevin Yang Urology Georgia Urology, Pa 1336 Hwy 54 W, Fayetteville, GA 30214
Angela R Parker Nurse Practitioner Piedmont Cardiology of Atlanta, LLC 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214
Kavita Perumal Krishnasamy Cardiac Electrophysiology Piedmont Cardiology of Atlanta, LLC 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214
Rani Shah Cardiovascular Disease (cardiology) Piedmont Cardiology of Atlanta, LLC 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214
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Competitor

Search similar physicians

City FAYETTEVILLE
Zip Code 30214
Specialty OTOLARYNGOLOGY
City + Specialty FAYETTEVILLE + OTOLARYNGOLOGY

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Dataset Information

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.

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