NPI age
13 years
Enumerated 2012-12-26
● Active Type 2 · Organization
Fountain Of Youth Md, Llc
Fountain Of Youth Md, Llc is 1 of 2003 durable medical equipment & medical supplies organizations in Georgia.
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Danan
Owner
Last NPPES update
2012-12-26
Source: monthly bulk 2026-05
How this organization compares
Across 2003 active durable medical equipment & medical supplies providers in Georgia.
NPI age
13 years
≈ at median (13 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-12Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
200 Galleria Pkwy Se, 100
Atlanta, GA 303395918
Mailing address
200 Galleria Pkwy Se, 100
Atlanta, GA 303395918
Authorized official
Offer Danan, DC
Owner
📞 7706955500
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Krystal Allen, FNP-C Nurse Practitioner NPI 1740782002
- Hema Hebbar, O.D Optometrist NPI 1356542765
- Ross Levine, D.M.D. Dentist NPI 1447510557
- Anita Vadria Physician Assistant NPI 1194124966
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryA 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.
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.