Individual provider Active NPI

Michael Eugene Young, PA

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1033173851
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103770 Issued in NC
Practice address
10810 Parkside Dr Ste 109
Knoxville, TN 37934-1980
Phone
(865) 647-3350
Fax
(865) 647-3359
NPI assigned
Apr 17, 2006
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0001-03770 NC
Medical Physician Assistant 363AM0700X 103770 NC
Surgical Physician Assistant 363AS0400X PA5616 TN
Physician Assistant 363A00000X 103770 NC Primary

Addresses

Primary practice location

10810 Parkside Dr Ste 109
Knoxville, TN 37934-1980

Mailing address

10810 Parkside Dr Ste 109
Knoxville, TN 37934-1980
Phone (865) 647-3350

Other practice location 1

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone (919) 784-7110

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address myoung235376@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX, TN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060817000322 NC Practitioner - Physician Assistant 7416950241 Reassigns benefits to 1 organization
I20221220001192 TX Practitioner - Physician Assistant 7416950241 Reassigns benefits to 1 organization
I20240227003404 TN Practitioner - Physician Assistant 7416950241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

10810 Parkside Dr
Knoxville, TN 37934-1981

10810 Parkside Dr
Suite 109
Knoxville, TN 37934-1980
Phone (865) 647-3350

10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (865) 218-7011

4420 Lake Boone TRL
Raleigh, NC 27607-7505

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5616TNMDSpeech-Language Pathologist
103770NCMDMedical Physician Assistant
0001-03770NCMDSurgical Physician Assistant
PA5616TNMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina MG, LLC CurrentSince Sep 15, 2025 Accepting new patients
Rex Hospital Inc CurrentSince Sep 15, 2025 Accepting new patients
Medhealth CurrentSince Sep 9, 2022 Accepting new patients
Rex Hospital Inc Physician Assistant Current Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

2800 Blue Ridge Rd
Ste 201
Raleigh, NC 27607
Phone (919) 420-5000

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

Interoperability endpoints

  • Direct secure messaging: myoung235376@direct.unc.nchie.net

Organizations & group practices 7

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 2

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1033173851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE 109",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341980",
            "telephone_number": "865-647-3350",
            "fax_number": "865-647-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE 109",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341980",
            "telephone_number": "865-647-3350",
            "fax_number": "865-647-3359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4420 Lake Boone Trl",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077505",
            "country_code": "US",
            "telephone_number": "919-784-7110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MICHAEL",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0001-03770",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103770",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "PA5616",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "myoung235376@direct.UNC.nchie.net",
            "affiliation": "N",
            "endpointDescription": "CDA/CCD/TXT",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4420 Lake Boone Trl",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276077505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.