Johanna C. Young, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-10212 Issued in NC

Practice address

105 Delta Park Dr
Shelby, NC 28150-3575

Phone

(704) 484-0464

NPI assigned

Jun 10, 2020

Last updated

Aug 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Dermatology PAGroup PAC ID 7012971609, 52 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.46 of 100Reported as group

Quality

80.45

Improvement activities

40

Cost

87.37

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: jyoung@aadermaffiliates.emadirect.md

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.

• Southern Dermatology, P.a.

  • Specialist
  • Raleigh, NC
  • NPI 1568415586
  Medicare reassignment Care Compare group
• Minuteclinic Diagnostic of North Carolina PC

  • Family Nurse Practitioner
  • Raleigh, NC
  • NPI 1699748608
  Medicare reassignment
• Carolina Skin Care, PA

  • Dermatology Physician
  • Pinehurst, NC
  • NPI 1205999687
  NPD (past)
• Foot and Ankle Institute of Robeson County

  • Foot & Ankle Surgery Podiatrist
  • Lumberton, NC
  • NPI 1093948911
  NPD (past)
• Piedmont Plastic Surgery and Dermatology

  • Dermatology Physician
  • Shelby, NC
  • NPI 1316056104
  NPD (past)
• Anne Arundel Dermatology Affiliates PC

  • Dermatology Physician
  • Hunt Valley, MD
  • NPI 1083200794
  NPD (past)

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1083239545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DELTA PARK DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503575",
            "telephone_number": "704-484-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DELTA PARK DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503575",
            "telephone_number": "704-484-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JOHANNA",
        "middle_name": "C.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Japheth Angelo Youmans
• Young Young and Associates Inc
• Brenton L Young, DDS
• Douglas Bryan Young, M.D.
• Eugene F Young, DDS, F.A.G.D.
• Kay B. Young, AU.D.
• Lamar L. Young, PH.D.
• Mahmoud Younis
• Tiffany Joy Zumbahlen, PA-C
• Victor Zuniga, M.D.

• Physician Assistant in Shelby, NC
• Providers in Shelby, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.