Mr Gary Alan Youngblood Jr, RD, LD, CDE - Dietitian in Pooler, GA

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Mr Gary Alan Youngblood Jr, RD, LD, CDE is a Dietitian, Registered based in Pooler, Georgia. Mr Gary Alan Youngblood Jr is licensed to practice in Georgia (license number LD002323) and his current practice location is 141 Nandina Way, Pooler, Georgia. He can be reached at his office (for appointments etc.) via phone at (912) 660-1215.

NPI number for Mr Gary Alan Youngblood Jr is 1104150192 and his current mailing address is 141 Nandina Way, Pooler, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104150192.

Contact Information

Mr Gary Alan Youngblood Jr, RD, LD, CDE
141 Nandina Way,
Pooler, GA 31322-4076
(912) 660-1215
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Gary Alan Youngblood Jr
GenderMale
SpecialityDietitian, Registered
Location141 Nandina Way, Pooler, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104150192
  • Provider Enumeration Date: 09/24/2009
  • Last Update Date: 09/24/2009

Medical Identifiers

Medical identifiers for Mr Gary Alan Youngblood Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104150192NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered LD002323 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gary Alan Youngblood Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Gary Alan Youngblood Jr, RD, LD, CDE
141 Nandina Way,
Pooler, GA 31322-4076

Ph: (912) 660-1215		Mr Gary Alan Youngblood Jr, RD, LD, CDE
141 Nandina Way,
Pooler, GA 31322-4076

Ph: (912) 660-1215

Reviews and Comments


Dietitian, Registered in Pooler, GA

Coastal Nutrition Specialists, Llc
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 141 Nandina Way, Pooler, GA 31322
Phone: 912-660-1215    
Deborah Mccorkle Crespo, RD, LD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 146 Pampas Dr, Pooler, GA 31322
Phone: 912-450-2202    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.