Fountain of Youth MD LLC
NPI 1649527284 · General Practice Physician · Atlanta, GA
Fountain of Youth MD LLC is a General Practice Physician organization in Atlanta, GA (NPI 1649527284).
Provider details
- NPI number
- 1649527284
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Offer Danan, Owner(770) 695-5500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-08-14
- Last updated
- 2014-05-22
Frequently asked questions
- What is Fountain of Youth MD LLC's NPI number?
- Fountain of Youth MD LLC's National Provider Identifier (NPI) is 1649527284, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fountain of Youth MD LLC?
- Fountain of Youth MD LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Fountain of Youth MD LLC located?
- Fountain of Youth MD LLC's practice location on file with NPPES is 200 Galleria Pkwy Se, Atlanta, GA 30339-5918.
- What is Fountain of Youth MD LLC's phone number?
- The practice phone number listed in the NPPES registry for Fountain of Youth MD LLC is (770) 695-5500.
- Who is the authorized official for Fountain of Youth MD LLC?
- The authorized official listed on Fountain of Youth MD LLC's NPPES record is Offer Danan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fountain of Youth MD LLC's NPI active?
- Yes — Fountain of Youth MD LLC's NPI (1649527284) is active in the NPPES registry as of the last update on 2014-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.