Individual provider Active NPI

Devell R Young, M.D.

  • Internal Medicine Physician
  • Albany, GA
National Provider Identifier
1205822657
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
028675 Issued in GA
Practice address
2002 Palmyra Rd
Suite 101
Albany, GA 31701-1591
Phone
(229) 889-9367
Fax
(229) 317-0678
NPI assigned
Sep 21, 2005
Last updated
Jan 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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 028675 GA Primary

Addresses

Primary practice location

2002 Palmyra Rd
Suite 101
Albany, GA 31701-1591

Mailing address

PO Box 505
Albany, GA 31702-0505
Phone (229) 889-9367

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111201000177 GA Practitioner - Internal Medicine 2264606219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Warren Alpert Medical School of Brown University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Albany, P.C.Group PAC ID 7719975564, 6 clinicians

Practice addresses (Care Compare)

101 Oakland Crossing Dr
Leesburg, GA 31763-7228
Phone (229) 432-1440

2002 Palmyra Rd
Suite 101
Albany, GA 31701-1593
Phone (229) 432-1440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028675GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Albany, P.C. Internal Medicine CurrentSince May 3, 1999 Accepting new patients
Medical Associates of Albany, PC Past Accepting new patients

Locations

2002 Palmyra Rd
Ste 101
Albany, GA 31701
Phone (229) 432-1440

101 Oakland Crossing Dr
Leesburg, GA 31763
Phone (229) 432-1440

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1205822657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317020505",
            "telephone_number": "229-889-9367",
            "fax_number": "229-317-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 PALMYRA RD",
            "address_2": "SUITE 101",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011591",
            "telephone_number": "229-889-9367",
            "fax_number": "229-317-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DEVELL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "028675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.