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YOUTHFUL ESSENCE MD, LLC
NPI 1467811265
Family Medicine in Marietta, GA

Active since February 22, 2016
1230 JOHNSON FERRY PL, SUITE A10, MARIETTA, GA 30068(678) 903-0533(678) 903-0548 Get Directions Write a Review

NPPES record last updated: February 22, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Youthful Essence Md, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUTHFUL ESSENCE MD, LLC (NPI 1467811265) is a healthcare organization registered as a family medicine in Marietta, Georgia and active in the NPI registry since February 2016. The organization lists Fannie Clark, Revenue Recovery Consultant, as its authorized official.

NPPES Registry Identity

NPI1467811265
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameYOUTHFUL ESSENCE MD, LLC
Location Address1230 JOHNSON FERRY PL, SUITE A10Marietta, GA 30068-2048
Mailing Address1230 Johnson Ferry Pl, Suite A10Marietta, GA 30068-2048 · (678) 903-0533 · Fax (678) 903-0548
Phone(678) 903-0533
Fax(678) 903-0548
Organization SubpartNo
Authorized OfficialFannie ClarkRevenue Recovery Consultant · (678) 531-9692
Enumeration DateFebruary 22, 2016
✔ NPI 1467811265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 17323874
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1230 JOHNSON FERRY PL, Marietta, GA 30068
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIANA BERNARDO DA SILVA ZARDO PNP
Nurse Practitioner (Pediatrics)
1230 JOHNSON FERRY PL
MARIETTA, GA 30068
Cobb County (678) 501-5601
ROBERT A FOSTER JR DMD PC
Clinic/Center (Dental)
1230 JOHNSON FERRY PL, SUITE C-10
MARIETTA, GA 30068
Cobb County (770) 971-5119
JOHN H. TAYLOR, D.M.D. P.C.
Dentist (Pediatric Dentistry)
1230 JOHNSON FERRY PL, SUITE I-10
MARIETTA, GA 30068
Cobb County (770) 973-7687
WILLIAM BUSHELL
Behavior Analyst
1230 JOHNSON FERRY PL
MARIETTA, GA 30068
Cobb County (404) 442-2068
SHIJUN LI LAC, OMD
Acupuncturist
1230 JOHNSON FERRY PL, BLDG 2, STE I-40
MARIETTA, GA 30068
Cobb County (678) 273-2472
LOUISE MARSSA M.ED. CCC-SLP
Speech-Language Pathologist
1230 JOHNSON FERRY PL, I-20
MARIETTA, GA 30068
Cobb County (770) 321-6705
LAUREN MARGARET KEANE
Occupational Therapist
1230 JOHNSON FERRY PL, SUITE I-20
MARIETTA, GA 30068
Cobb County (770) 321-6705
CHARLENE KURKJIAN
Occupational Therapist
1230 JOHNSON FERRY PL, SUITE I-20
MARIETTA, GA 30068
Cobb County (770) 321-6705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Youthful Essence MD, LLC's NPI number?

The NPI number for Youthful Essence MD, LLC is 1467811265. It was assigned to this organization in the NPPES registry on February 22, 2016.

Where is Youthful Essence MD, LLC located?

Youthful Essence MD, LLC is located at 1230 Johnson Ferry Pl Suite A10, Marietta, GA 30068. The listed phone number is (678) 903-0533.

What is Youthful Essence MD, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Youthful Essence MD, LLC was last updated on February 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.