Active NPI
Michael Clarence Young, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Prescott, AR
National Provider Identifier
1124026836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- C4873
- Practice address
- 301 Hale Ave
Prescott, AR 71857-3330 - Phone
- (870) 887-6651
- Fax
- (870) 887-2008
- NPI assigned
- Jul 7, 2005
- Reactivated
- Mar 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | C4873 | AR | Primary |
Addresses
Primary practice location
301 Hale Ave
Prescott, AR 71857-3330
Mailing address
301 Hale Ave
Prescott, AR 71857-3330
Phone (870) 887-6651
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127720000 | Other | AR | QUAL CHOICE |
| 080043829 | Other | AR | GBA RAILROAD |
| 1124026836 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
301 Hale Ave
Prescott, AR 71857-3330
Phone (870) 887-6651
Hospital & facility affiliations
- Elite Home Health
- Kindred at Home
- Gentiva
- Southwest Regional Medical Center LLC
- Christus St Michael Health System
- Baptist Health Medical Center-Arkadelphia
- The Springs of Hillcrest
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4873 | AR | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prescott Family Clinic P a | Current | Accepting new patients |
Locations
322 Hale Ave
Prescott, AR 71857
Phone (870) 246-3055
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| The Springs of Hillcrest | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Aug 16, 2021 Aug 16, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Searcy, AR
- NPI 1679146609
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 1
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.
-
- Clinic/Center
- Prescott, AR
- NPI 1831150747
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Arkadelphia, AR
- NPI 1174553796
-
- Home Health Agency
- Hope, AR
- NPI 1619327632
-
- Community Based Hospice Care Agency
- Texarkana, AR
- NPI 1003266040
-
- Home Health Agency
- Nashville, AR
- NPI 1881892404
-
- Critical Access Hospital
- Hope, AR
- NPI 1164234308
-
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254960000000",
"number": "1124026836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 HALE AVE",
"city": "PRESCOTT",
"state": "AR",
"postal_code": "718573330",
"telephone_number": "870-887-6651",
"fax_number": "870-887-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HALE AVE",
"city": "PRESCOTT",
"state": "AR",
"postal_code": "718573330",
"telephone_number": "870-887-6651",
"fax_number": "870-887-2008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MICHAEL",
"middle_name": "CLARENCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2009-10-08",
"deactivation_date": "2006-03-15",
"reactivation_date": "2006-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "AR",
"license": "C4873",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUAL CHOICE",
"identifier": "127720000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GBA RAILROAD",
"identifier": "080043829",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124026836",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.