| Dr Kisha Janelle Young, MD, PHD | |
|
4460 Austell Rd, Austell, GA 30106-1844 | |
| (770) 944-3616 | |
| (770) 941-3047 |
| Full Name | Dr Kisha Janelle Young |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 12 Years |
| Location | 4460 Austell Rd, Austell, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740627991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 54998 (Tennessee) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 90713 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Cobb Hospital | Austell, GA | Hospital |
| Wellstar Kennestone Hospital | Marietta, GA | Hospital |
| Wellstar Paulding Hospital | Hiram, GA | Hospital |
| Grady Memorial Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kisha Janelle Young, MD, PHD 4460 Austell Rd, Austell, GA 30106-1844 Ph: (770) 944-3616 | Dr Kisha Janelle Young, MD, PHD 4460 Austell Rd, Austell, GA 30106-1844 Ph: (770) 944-3616 |
Sandy Shaw Mcgaffigan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4460 Austell Rd, Austell, GA 30106 Phone: 770-941-4716 Fax: 770-941-3047 | |
Dr. James Kenneth Freeman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1048 Blair Bridge Rd, Austell, GA 30168 Phone: 770-309-1466 | |
Daniela Guilliam, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1664 Mulkey Rd, Austell, GA 30106 Phone: 770-422-1372 Fax: 770-999-2599 | |
Dr. Sital Vijendra Patel, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4460 Austell Rd, Austell, GA 30106 Phone: 770-944-3616 | |
Peter Yong Joon Lee, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1625 Hospital North Drive, Suite 150, Austell, GA 30106 Phone: 770-732-6950 | |
Dr. Anthony Uba Ekwenchi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4585 Austell Rd, Austell, GA 30106 Phone: 770-948-9338 Fax: 770-948-5556 | |
Dr. John Gabriel Smith, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 470-732-6570 |