FOUNTAIN OF YOUTH MD LLC
NPI 1649527284
General Practice in Atlanta, GA

Active since August 14, 2012
200 GALLERIA PKWY SE, SUITE 100, ATLANTA, GA 30339(770) 695-5500(800) 814-3301 Get Directions Write a Review

NPPES record last updated: May 22, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • General Practice

About FOUNTAIN OF YOUTH MD LLC

This page provides the complete NPI Profile along with additional information for Fountain Of Youth Md Llc, a primary care provider established in Atlanta, Georgia operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1649527284 assigned on August 2012. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Offer Danan (Owner)

NPI
1649527284 Verify this NPI
Provider Name
FOUNTAIN OF YOUTH MD LLC
Entity Type
Organization
Location Address
200 GALLERIA PKWY SE SUITE 100 ATLANTA, GA 30339
Location Phone
(770) 695-5500
Location Fax
(800) 814-3301
Mailing Address
200 GALLERIA PKWY SE SUITE 100 ATLANTA, GA 30339
Mailing Phone
(770) 695-5500
Mailing Fax
(800) 814-3301
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2012
Last Update Date
05-22-2014
Code Navigator

A primary care provider (PCP) like Fountain Of Youth Md Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

OFFER DANAN

Authorized Official Title
OWNER
Authorized Official Phone
(770) 695-5500

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Plastic Surgery
200 GALLERIA PKWY SE, SUITE 590
ATLANTA, GA 30339
Rehabilitation Hospital
200 GALLERIA PKWY SE, SUITE 1800
ATLANTA, GA 30339
Optometrist
200 GALLERIA PKWY SE, SUITE 200
ATLANTA, GA 30339
Durable Medical Equipment & Medical Supplies
200 GALLERIA PKWY SE, 100
ATLANTA, GA 30339
Clinic/Center (Sleep Disorder Diagnostic)
200 GALLERIA PKWY SE, SUITE 100
ATLANTA, GA 30339
Physician Assistant
200 GALLERIA PKWY SE, SUITE 100
ATLANTA, GA 30339
Specialist
200 GALLERIA PKWY SE, SUITE 200
ATLANTA, GA 30339
Dentist (General Practice)
200 GALLERIA PKWY SE, SUITE 1830
ATLANTA, GA 30339
Clinic/Center (Ophthalmologic Surgery)
200 GALLERIA PKWY SE, SUITE 200
ATLANTA, GA 30339
Nurse Practitioner (Family)
200 GALLERIA PKWY SE
ATLANTA, GA 30339

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649527284, enumerated as an "organization" on August 14, 2012.

The provider is located at 200 GALLERIA PKWY SE SUITE 100 ATLANTA, GA 30339 and the phone number is (770) 695-5500.

General Practice with taxonomy code 208D00000X.