Active NPI
Thomas Young, M.D.
- Cardiovascular Disease Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 209032311
- Practice address
- 1150 Ross Clark Cir
Dothan, AL 36301-3022 - Phone
- (334) 712-1929
- Fax
- (334) 712-2799
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 209032311 | IL | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 16584 | AL |
Addresses
Primary practice location
1150 Ross Clark Cir
Dothan, AL 36301-3022
Mailing address
1150 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 712-1929
Other practice location 1
4600 Memorial Dr Ste W1
Belleville, IL 62226-5359
Phone (618) 233-3066
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009942275 | Medicaid | AL | |
| 051088715 | Other | AL | BLUE CROSS |
| 370489101 | Medicaid | FL | |
| 000088715 | Medicaid | AL | |
| 051095000 | Other | AL | BLUE CROSS |
| 051055300 | Other | AL | BLUE CROSS |
| 370489100 | Medicaid | FL | |
| 00505689B | Medicaid | GA | |
| 051540112 | Other | AL | BLUE CROSS |
| 370489102 | Medicaid | FL | |
| 631087996 | Other | TAX ID# | |
| 61700 | Other | FL | BLUE CROSS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL, GA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7240
1404 Cross St
Shiloh, IL 62269-2988
Phone (618) 607-3055
1418 Cross St
Suite 350
Shiloh, IL 62269-2988
Phone (618) 607-3900
19 Doctors Way
Suite C
Blairsville, GA 30512-1117
Phone (706) 439-6380
4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220
4600 Memorial Dr
Belleville, IL 62226-5359
Hospital & facility affiliations
- Memorial Hospital
- Barnes Jewish Hospital
- Union General Hospital
- Huntsville Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16584 | AL | MD | Cardiovascular Disease Physician |
| 209032311 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston County Healthcare Authority | Cardiovascular Disease | Current | Accepting new patients |
| Hospital Authority of Valdosta and Lowndes County Georgia | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County, Georgia | Current | Accepting new patients | |
| Southeast Cardiology Clinic Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County Georgia | Current | Accepting new patients | |
| Piedmont Cardiology of Atlanta, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Donalsonville Hospital Inc | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
1150 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-2770
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
409 N Main St
Ste A
Enterprise, AL 36330
3700 Williams Dr
Marianna, FL 32446
Phone (850) 482-9200
19 Doctors Way
Ste C
Blairsville, GA 30512
Phone (706) 439-6380
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
102 Hospital Cir
Donalsonville, GA 39845
Phone (229) 524-8489
1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
4600 Memorial Dr
Ste W1
Belleville, IL 62226
Phone (618) 233-3066
5213 Godfrey Rd
Ste 110
Godfrey, IL 62035
Phone (618) 619-3330
660 Mason Ridge Center Dr
Saint Louis, MO 63141
Phone (314) 273-6433
Interoperability endpoints
- tyoung63319@sgmc.gadirect.net
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
-
- Rural Acute Care Hospital
- Donalsonville, GA
- NPI 1720095805
-
- General Acute Care Hospital
- Valdosta, GA
- NPI 1306896253
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1538597349
Cardiovascular Disease
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1073022000
-
- Psychiatric Hospital Unit
- Valdosta, GA
- NPI 1033160791
-
- Ambulance
- Valdosta, GA
- NPI 1558141671
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
-
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
- General Acute Care Hospital
- Blairsville, GA
- NPI 1487684122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1083694665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013022",
"telephone_number": "334-712-1929",
"fax_number": "334-712-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013022",
"telephone_number": "334-712-1929",
"fax_number": "334-712-2799"
}
],
"practiceLocations": [
{
"address_1": "4600 Memorial Dr Ste W1",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622265359",
"country_code": "US",
"telephone_number": "618-233-3066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "209032311",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AL",
"license": "16584",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009942275",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051088715",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370489101",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000088715",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051095000",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051055300",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370489100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00505689B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051540112",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370489102",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID#",
"identifier": "631087996",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "61700",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5213 Godfrey Rd Ste 110",
"city": "Godfrey",
"state": "IL",
"country_code": "US",
"postal_code": "620352510",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.