● Active Type 1 · Individual

Mallory Lynn Youngstrom, M.D.

Obstetrics & Gynecology·MacOn, GA· NPI 1871956870 · Enumerated 2016 · 10 years on NPI

Youngstrom is 1 of 2 obstetrics & gynecology providers in MacOn and 1 of 47 in Georgia.

NPI age

10 years

Enumerated 2016-03-29

Primary specialty

Obstetrics & Gynecology

Plus 1 subspecialty

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2024-06-25

Source: monthly bulk 2026-05

Sole proprietor

Yes

Solo practice on file

How this provider compares

Across 47 active obstetrics & gynecology providers in Georgia.

NPI age

10 years

↓ 5 yr below median (15 yr)

State licenses

1 state

10% of peers hold multiple states

Subspecialties

In the 55% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-03Enumerated in NPPES

2016 2026

Where they practice

Practice location

682 Hemlock St Ste 210

MacOn, GA 312018314

📞 4786335300fax 4786335304

Mailing address

682 Hemlock St Ste 210

MacOn, GA 312018314

📞 4786335300fax 4786335304

Specialties

Allopathic & Osteopathic Physicians › Obstetrics & Gynecology

Obstetrics & Gynecology Primary

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of...

GA license #85686 taxonomy 207VF0040X
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...

GA license #85686 taxonomy 207V00000X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.