Individual provider Active NPI

Craig Alan Young, MD

  • Internal Medicine Physician
  • Guntersville, AL
National Provider Identifier
1194718155
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17861 Issued in AL
Practice address
7938 Al Highway 69 Ste 310
Guntersville, AL 35976-7135
Phone
(256) 571-8570
Fax
(256) 571-8779
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17861 AL Primary

Addresses

Primary practice location

7938 Al Highway 69 Ste 310
Guntersville, AL 35976-7135

Mailing address

7938 Al Highway 69 Ste 310
Guntersville, AL 35976-7135
Phone (256) 571-8570

Other identifiers 2

IdentifierTypeStateIssuer
000027835MedicaidAL
51027835OtherALBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080428000199 AL Practitioner - Internal Medicine 3072691336 Practice locations: Guntersville, AL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17861ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Medical Center South Medical Specialists of North Alabama Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1194718155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7938 AL HIGHWAY 69 STE 310",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767135",
            "telephone_number": "256-571-8570",
            "fax_number": "256-571-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7938 AL HIGHWAY 69 STE 310",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767135",
            "telephone_number": "256-571-8570",
            "fax_number": "256-571-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CRAIG",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "17861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000027835",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "51027835",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.