MATTHEW B YOUNG (MD) – Family Medicine Physician, NPI 1689318958

MATTHEW B YOUNG (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 104647 (GA). The NPI Number for MATTHEW B YOUNG (MD) is 1689318958

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW B YOUNG (MD)
NPI
1689318958
Phone
Not provided
Address
1735 CHILDRESS DR SW
Enumeration Date
23 April 2022
Last Update Date
1 October 2025

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
6783120400
Graduation Year
2022 (4 years ago)
PAC ID
3779964895
Group Practice PAC ID
0648504894
Professional Enrollment ID
I20250807004411
Address ID
GA300468709LA665XXHWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for MATTHEW B YOUNG (MD)

  • 1735 CHILDRESS DR SW

    ATLANTA, GA 303113609

    Phone:

    Type: Mailing

  • 4500 N SHALLOWFORD RD

    ATLANTA, GA 303386476

    Phone: (310) 619-9004

    Type: Location

  • 665 DULUTH HWY STE 501

    LAWRENCEVILLE, GA 300468709

    Phone: (678) 312-0400

    Fax: (678) 312-0423

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-08-07

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
I20250807004411IFamily PracticeGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30311)

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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: 0648504894View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineGA
Internal MedicineGA
-GA
Family PracticePA
Internal MedicineTX
Family PracticeGA
Internal MedicineGA
Hospitalist, Internal MedicineGA
-GA
Family PracticeGA

Reviews

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Frequently asked questions

What number should I use to identify MATTHEW B YOUNG (MD) for billing?
Administrative and clinical systems typically use NPI 1689318958 for MATTHEW B YOUNG (MD).
Is MATTHEW B YOUNG (MD)'s NPI status active today?
Active status means MATTHEW B YOUNG (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits MATTHEW B YOUNG (MD)?
NPPES ties MATTHEW B YOUNG (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MATTHEW B YOUNG (MD)?
MATTHEW B YOUNG (MD) shows a connection to Atlanta, Georgia in registry-derived data.
Can I export MATTHEW B YOUNG (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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