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FOUNTAIN OF YOUTH MD, LLC
NPI 1558607374
Durable Medical Equipment & Medical Supplies in Atlanta, GA

Active since December 26, 2012
200 GALLERIA PKWY SE, 100, ATLANTA, GA 30339(404) 382-9277 Get Directions Write a Review

NPPES record last updated: December 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fountain Of Youth Md, Llc NPPES

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

FOUNTAIN OF YOUTH MD, LLC (NPI 1558607374) is a healthcare organization registered as a durable medical equipment & medical supplies in Atlanta, Georgia and active in the NPI registry since December 2012. The organization lists Offer Danan, Owner, as its authorized official.

NPPES Registry Identity

NPI1558607374
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameFOUNTAIN OF YOUTH MD, LLC
Location Address200 GALLERIA PKWY SE, 100Atlanta, GA 30339-5918
Mailing Address200 Galleria Pkwy Se, 100Atlanta, GA 30339-5918
Phone(404) 382-9277
Organization SubpartNo
Authorized OfficialOffer DananOwner · (770) 695-5500
Enumeration DateDecember 26, 2012
✔ NPI 1558607374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
200 GALLERIA PKWY SE, Atlanta, GA 30339
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Other Providers at the Same Location NPPES 10

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

CENTER FOR COSMETIC & RECONSTRUCTIVE SURGERY PC
Plastic Surgery
200 GALLERIA PKWY SE, SUITE 590
ATLANTA, GA 30339
Cobb County (770) 951-7595
ANITA VADRIA
Physician Assistant
200 GALLERIA PKWY SE, SUITE 100
ATLANTA, GA 30339
Cobb County (770) 444-0076
RESTORE HEALTH GROUP, INC
Rehabilitation Hospital
200 GALLERIA PKWY SE, SUITE 1800
ATLANTA, GA 30339
Cobb County (678) 277-9275
DR. HEMA JITENDRA HEBBAR O.D
Optometrist
200 GALLERIA PKWY SE, SUITE 200
ATLANTA, GA 30339
Cobb County (770) 955-3938
LCA-VISION
Clinic/Center (Ophthalmologic Surgery)
200 GALLERIA PKWY SE, SUITE 200
ATLANTA, GA 30339
Cobb County (770) 955-3938
DR. ROSS STEVEN LEVINE D.M.D.
Dentist (General Practice)
200 GALLERIA PKWY SE, SUITE 1830
ATLANTA, GA 30339
Cobb County (770) 356-2493
FOUNTAIN OF YOUTH MD LLC
General Practice
200 GALLERIA PKWY SE, SUITE 100
ATLANTA, GA 30339
Cobb County (770) 695-5500
KRYSTAL ALLEN FNP-C
Nurse Practitioner (Family)
200 GALLERIA PKWY SE
ATLANTA, GA 30339
Cobb County (800) 893-9698

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 Fountain Of Youth MD, LLC's NPI number?

The NPI number for Fountain Of Youth MD, LLC is 1558607374. It was assigned to this organization in the NPPES registry on December 26, 2012.

Where is Fountain Of Youth MD, LLC located?

Fountain Of Youth MD, LLC is located at 200 Galleria Pkwy SE 100, Atlanta, GA 30339. The listed phone number is (404) 382-9277.

What is Fountain Of Youth MD, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Fountain Of Youth MD, LLC was last updated on December 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.