Individual provider Active NPI

Jamie Young, FNP-C

  • Family Nurse Practitioner
  • Lumberton, NC
National Provider Identifier
1235506569
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5007882 Issued in NC
Practice address
4312 Ludgate St
Lumberton, NC 28358-2461
Phone
(910) 733-3662
Fax
(910) 348-8838
NPI assigned
Aug 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5007882 NC Primary

Addresses

Primary practice location

4312 Ludgate St
Lumberton, NC 28358-2461

Mailing address

2889 Meadow Rd
Lumberton, NC 28358-8810
Phone (910) 733-3662

Other practice location 1

923 W 3rd St Ste C
Pembroke, NC 28372-9629
Phone (910) 521-0564

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jyoung213303@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160126001689 NC Practitioner - Nurse Practitioner 1557664570 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5007882NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Remedi, PLLC Family CurrentSince Dec 27, 2024 Accepting new patients
Unc Physicians Network, LLC CurrentSince Jan 24, 2025 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Unc Physicians Network LLC CurrentSince Jan 24, 2025 Accepting new patients
Integrated Wound Specialists of North Carolina, PLLC Nurse Practitioner CurrentSince Oct 5, 2019 Accepting new patients

Locations

6013 Farrington Rd
Ste 101
Chapel Hill, NC 27517
Phone (919) 957-6610

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

37 Pineville Blvd
#102
Clayton, NC 27527
Phone (919) 346-8680

34 Healthpark Way
Ste 100
Clayton, NC 27520
Phone (919) 585-8850

2934 N Elm St
Ste B
Lumberton, NC 28358
Phone (910) 272-1175

4901 Dawn Dr
Ste 2300
Lumberton, NC 28360
Phone (910) 738-1065

6701B NC Highway 135
Mayodan, NC 27027
Phone (336) 635-6816

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

923 W 3rd St
Ste C
Pembroke, NC 28372
Phone (910) 521-0564

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

51 Mosaic Blvd
Ste 100
Pittsboro, NC 27312
Phone (984) 215-6766

6322 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-6700

Interoperability endpoints

  • Direct secure messaging: jyoung213303@direct.unc.nchie.net

Organizations & group practices 5

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": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1235506569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2889 MEADOW RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283588810",
            "telephone_number": "910-733-3662",
            "fax_number": "910-348-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 LUDGATE ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582461",
            "telephone_number": "910-733-3662",
            "fax_number": "910-348-8838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "923 W 3rd St Ste C",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "NC",
            "postal_code": "283729629",
            "country_code": "US",
            "telephone_number": "910-521-0564",
            "fax_number": "910-521-4088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JAMIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jyoung213303@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "923 W 3rd St Ste C",
            "city": "Pembroke",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283729629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.