NPIMap

Individual provider Active NPI

Jeremie Joseph Young, MD

  • Emergency Medicine Physician
  • Macclenny, FL
National Provider Identifier
1003912635
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME100167 Issued in FL
Practice address
5970 Copper Dr
Macclenny, FL 32063-4097
Phone
(904) 259-3151
NPI assigned
Sep 14, 2006
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME100167 FL Primary
General Practice Physician 208D00000X 100167 FL

Addresses

Primary practice location

5970 Copper Dr
Macclenny, FL 32063-4097

Mailing address

5970 Copper Dr
Macclenny, FL 32063-4097
Phone (904) 259-3151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080109000576 FL Practitioner - General PracticePractitioner - Emergency Medicine 7517914443 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
Education
JC Edwards School of Medicine, Marshall University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baker Community Health Center IncGroup PAC ID 3779689807, 25 clinicians
Baker County Medical Services IncGroup PAC ID 6103710264, shared by 3 NPIs, 7 clinicians
Anava Emergency Consultants LLCGroup PAC ID 7719326248, 14 clinicians

Practice addresses (Care Compare)

159 N 3Rd St
Macclenny, FL 32063-2103
Phone 90425931515103

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.04 of 100Reported as group
Quality
95.58
Improvement activities
40
Cost
71.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
100167FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anava Emergency Consultants LLC CurrentSince Apr 25, 2024 Accepting new patients
Baker County Medical Services Inc CurrentSince Aug 15, 2014 Accepting new patients
Baker County Medical Services Inc CurrentSince Jul 1, 2012 Accepting new patients
Baker Community Health Center Inc Emergency Medicine CurrentSince Sep 16, 2011 Accepting new patients
Baker County Medical Services, Inc Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Chickasawhay Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Cypress Health Systems Florida Inc. Past Accepting new patients
Anava Hospitalists LLC Past Accepting new patients

Locations

159 N 3rd St
Macclenny, FL 32063
Phone (904) 259-7815

Interoperability endpoints

  • Direct secure messaging: jyoung@bcms.medalliesdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1003912635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5970 COPPER DR",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320634097",
            "telephone_number": "904-259-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 COPPER DR",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320634097",
            "telephone_number": "904-259-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JEREMIE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME100167",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "100167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macclenny, FL

Sources for this page

Verify at the official NPI Registry.