CLIFTON G YOUNGBLOOD (MD) – Obstetrics & Gynecology Physician, NPI 1275617078
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,266 OBSTETRICS/GYNECOLOGY in GA
Provider Addresses for CLIFTON G YOUNGBLOOD (MD)
The Candy Box, 5684, Riverdale Avenue, The Bronx, Bronx County, New York, 10471, United States
RIVERDALE, GA 302966921
Phone: (770) 996-1200
Fax: (770) 907-7492
Type: Mailing
81 Upper Riverdale Rd
Suite 210
Riverdale, GA 302742627
Phone: (770) 996-1200
Fax: (770) 907-7492
Type: Location
PO BOX 742616
ATLANTA, GA 303742616
Phone: (770) 219-8420
Fax: (770) 907-7492
Type: Mailing
541 HISTORIC HIGHWAY 441 NORTH
DEMOREST, GA 30535
Phone: (706) 839-4000
Type: Location
81, Upper Riverdale Road, Sherwood Park, Riverdale, Clayton County, Georgia, 30274, United States
SUITE 210
RIVERDALE, GA 302742627
Phone: (770) 996-1200
Fax: (770) 907-7492
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $265.
Total Amount is formed as General ($265) + Research ($0) + Ownership ($0) = $265.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($115).
Total Amount
$265
General + Research + Ownership
Payments
10
Total payment records
General Amount
$265
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-12-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101220000943 | I | Obstetrics/Gynecology | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30296)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | GA | |
| Nurse Practitioner | GA | |
| Critical Care (Intensivists), Pulmonary Disease, Sleep Medicine | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| General Surgery | GA | |
| Surgical Oncology | WA | |
| R H E U M A T O L O G Y | GA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Pediatric Medicine | GA |
Reviews
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