DANIEL GLEN YOUNG (PA-C) – Physician Assistant, NPI 1902284664

DANIEL GLEN YOUNG (PA-C) is a healthcare provider. based in Atlanta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA225151 (OR). The NPI Number for DANIEL GLEN YOUNG (PA-C) is 1902284664

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL GLEN YOUNG (PA-C)
NPI
1902284664
Phone
(720) 917-9533
Address
142 MORELAND AVE SE UNIT 102
Enumeration Date
14 May 2015
Last Update Date
11 July 2025

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
1951617109
Professional Enrollment ID
I20250910000001
Address ID
OR974397398FL400XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:11State licenses:2Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for DANIEL GLEN YOUNG (PA-C)

  • 142 MORELAND AVE SE UNIT 102

    ATLANTA, GA 303161685

    Phone: (720) 917-9533

    Type: Mailing

  • 49 JESSE HILL DRIVE

    ATLANTA, GA 30303

    Phone: (404) 251-8921

    Fax: (404) 688-6351

    Type: Location

  • 400 9th St

    Florence, OR 974397398

    Phone: (541) 997-8412

    Fax: (541) 902-1695

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-06-29 • Largest payer in this snapshot: Haemonetics Corporation ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Haemonetics Corporation$18
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: 2025-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150902001239IPhysician AssistantGATBD
I20250910000001IPhysician AssistantORTBD

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
99285Emergency department visit with high level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 30316)

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Reviews

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Frequently asked questions

How do I look up DANIEL GLEN YOUNG (PA-C) by NPI?
Use NPI 1902284664 when you need to reference DANIEL GLEN YOUNG (PA-C) in forms, claims, or directories.
Is DANIEL GLEN YOUNG (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DANIEL GLEN YOUNG (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for DANIEL GLEN YOUNG (PA-C). Clinical services aligned with this taxonomy classification.
Where is DANIEL GLEN YOUNG (PA-C)'s primary listing?
We display Atlanta, Georgia because that is what the record indicates for DANIEL GLEN YOUNG (PA-C).
How can I contact DANIEL GLEN YOUNG (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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