MS. JENNIFER ELLEN YOUNG (MSM, PA-C) – Physician Assistant, NPI 1093063380

MS. JENNIFER ELLEN YOUNG (MSM, PA-C) is a healthcare provider. based in Atlanta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MSM, PA-C. They hold a License No. PA07823 (TX). The NPI Number for MS. JENNIFER ELLEN YOUNG (MSM, PA-C) is 1093063380

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MS. JENNIFER ELLEN YOUNG (MSM, PA-C)
NPI
1093063380
Phone
(770) 962-1616
Address
5555 Peachtree Dunwoody Rd Ste 293
Enumeration Date
17 August 2012
Last Update Date
14 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709621616
Graduation Year
2011 (15 years ago)
PAC ID
1658529284
Group Practice PAC ID
3577746130
Professional Enrollment ID
I20200314000408
Address ID
GA300475922LI5271XNWXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for MS. JENNIFER ELLEN YOUNG (MSM, PA-C)

  • 5555 Peachtree Dunwoody Rd Ste 293

    Atlanta, GA 303421711

    Phone: (770) 962-1616

    Type: Location

  • 4850 Sugarloaf Pkwy Ste 501

    Lawrenceville, GA 300442864

    Phone: (770) 962-1616

    Type: Location

  • 1700 UNIVERSITY BLVD APT 1424

    ROUND ROCK, TX 786658029

    Phone: (615) 513-7804

    Type: Mailing

  • 2301 S CLEAR CREEK RD STE 206

    KILLEEN, TX 765494119

    Phone: (254) 628-5454

    Fax: (254) 628-2729

    Type: Location

  • 2227 PLANTATION DR

    EAST POINT, GA 303442118

    Phone: (615) 513-7804

    Type: Mailing

  • 1800 HOWELL MILL RD NW STE 500

    ATLANTA, GA 303182594

    Phone: (404) 367-3350

    Type: Location

  • 1305 Hembree Rd Ste 101

    Roswell, GA 300763810

    Phone: (770) 962-1616

    Type: Location

  • 5271 Lawrenceville Hwy NW Ste A

    Lilburn, GA 300475922

    Phone: (770) 962-1616

    Fax: (770) 962-7977

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 445 Open Payments records for all available years, with a total value of $11,209.

Total Amount is formed as General ($11,209) + Research ($0) + Ownership ($0) = $11,209.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($3,524).

Total Amount

$11,209

General + Research + Ownership

Payments

445

Total payment records

General Amount

$11,209

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200314000408IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 30342)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577746130View full group profile
NameSpecialtyState
Rheumatology, HospitalistGA
R H E U M A T O L O G YGA
R H E U M A T O L O G YGA
Rheumatology, Internal MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Can I verify MS. JENNIFER ELLEN YOUNG (MSM, PA-C) with an NPI only?
You can start verification with NPI 1093063380 for MS. JENNIFER ELLEN YOUNG (MSM, PA-C), then check state licensing separately.
Is MS. JENNIFER ELLEN YOUNG (MSM, PA-C) still practicing?
MS. JENNIFER ELLEN YOUNG (MSM, PA-C) is currently listed as active in the public NPI registry.
What is MS. JENNIFER ELLEN YOUNG (MSM, PA-C) best known for clinically?
Directory data describes MS. JENNIFER ELLEN YOUNG (MSM, PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect MS. JENNIFER ELLEN YOUNG (MSM, PA-C) on a map?
Expect Atlanta, Georgia as a primary anchor for MS. JENNIFER ELLEN YOUNG (MSM, PA-C) unless the record lists multiple sites.
How many locations tie to this NPI?
8 practice locations appear in the available data.

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