Active NPI
Guy Thomas Young, MD
- Anesthesiology Physician
- Cordele, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 060900
- Practice address
- 902 N. Seventh St.
Cordele, GA 31015 - Phone
- (229) 276-3100
- Fax
- (229) 271-4654
- NPI assigned
- May 23, 2007
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0101239107 | VA | |
| Anesthesiology Physician | 207L00000X | 060900 | GA | Primary |
Addresses
Primary practice location
902 N. Seventh St.
Cordele, GA 31015
Mailing address
PO Box 5007
Cordele, GA 31010-5007
Phone (229) 276-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 406134136A | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Medical College of Georgia School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
902 N 7TH St
Cordele, GA 31015-3234
Phone (229) 276-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101239107 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ams Southeast LLC | Anesthesiology | Current | Accepting new patients |
| Crisp Regional Hospital Inc | Current | Accepting new patients | |
| Crisp Regional Hospital, Inc | Current | Accepting new patients |
Locations
2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000
902 N 7th St
Ste N
Cordele, GA 31015
910 N 5th St
Cordele, GA 31015
Phone (229) 271-4652
902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100
Interoperability endpoints
- guy.young@crispregional.gadirect.net
Organizations & group practices 3
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.
-
dba Crisp Regional Hospital
- General Acute Care Hospital
- Cordele, GA
- NPI 1700851649
-
dba Crisp Regional LTC Pharmacy
- Long Term Care Pharmacy
- Cordele, GA
- NPI 1679836142
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Crisp Regional Hospital
- General Acute Care Hospital
- Cordele, GA
- NPI 1700851649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1124238878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5007",
"city": "CORDELE",
"state": "GA",
"postal_code": "310105007",
"telephone_number": "229-276-3100",
"fax_number": "229-271-4654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 N. SEVENTH ST.",
"city": "CORDELE",
"state": "GA",
"postal_code": "31015",
"telephone_number": "229-276-3100",
"fax_number": "229-271-4654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "GUY",
"middle_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0101239107",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "060900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "406134136A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cordele, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.