Individual provider Active NPI

Erica Blaikie Young, MD

  • Family Medicine Physician
  • Savannah, GA
National Provider Identifier
1033598479
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
077224 Issued in GA
Practice address
51 Johnny Mercer Blvd. Cottage a-1
Savannah, GA 31410
Phone
(912) 999-8617
Fax
(912) 216-3946
NPI assigned
May 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 077224 GA Primary

Addresses

Primary practice location

51 Johnny Mercer Blvd. Cottage a-1
Savannah, GA 31410

Mailing address

51 Johnny Mercer Blvd. Cottage a-1
Savannah, GA 31410
Phone (912) 999-8617

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180618003397 GA Order and Referring Only - Family PracticePractitioner - Family Practice 3375898208

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
077224GAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1033598479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 JOHNNY MERCER BLVD. COTTAGE A-1",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31410",
            "telephone_number": "912-999-8617",
            "fax_number": "912-216-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 JOHNNY MERCER BLVD. COTTAGE A-1",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31410",
            "telephone_number": "912-999-8617",
            "fax_number": "912-216-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ERICA",
        "middle_name": "BLAIKIE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "077224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.