Individual provider Active NPI

George Morrison Young Jr., MD

  • Adult Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1245265677
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME57406 Issued in FL
Practice address
11761-8 Beach Blvd
Jacksonville, FL 32246-6699
Phone
(904) 642-3304
Fax
(904) 642-8375
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X ME57406 FL Primary
Adult Medicine Physician 207QA0505X 030930 GA
Family Medicine Physician 207Q00000X ME57406 FL
General Practice Physician 208D00000X ME57406 FL

Addresses

Primary practice location

11761-8 Beach Blvd
Jacksonville, FL 32246-6699

Mailing address

11761-8 Beach Blvd
Jacksonville, FL 32246-6699
Phone (904) 642-3304

Other identifiers 1

IdentifierTypeStateIssuer
009375000MedicaidFL

Other names 1

  • Dr. George M. Young Jr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20051203000030 FL Practitioner - Family PracticePractitioner - General PracticePractitioner - Internal Medicine 0547155053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Plus Medical Center IncGroup PAC ID 1153693577, 3 clinicians

Practice addresses (Care Compare)

11761 Beach Blvd
Suite 8
Jacksonville, FL 32246-6699
Phone (904) 642-3304

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME57406FLMDFamily Medicine Physician
030930GAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Plus Medical Center Inc CurrentSince Nov 14, 2017 Accepting new patients
First Care Inc Past Accepting new patients
First Coast Primary Care Inc Family Medicine Past Accepting new patients
St Vincents Ambulatory Care Inc Past Accepting new patients
North Florida Medical Associates, Inc. Family Medicine Past Accepting new patients
Ulysses D. Findley, MD, PA PastSince Sep 20, 2014 Accepting new patients

Locations

11761 Beach Blvd
Ste 8
Jacksonville, FL 32246
Phone (904) 633-0585

Organizations & group practices 6

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1245265677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11761-8 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322466699",
            "telephone_number": "904-642-3304",
            "fax_number": "904-642-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11761-8 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322466699",
            "telephone_number": "904-642-3304",
            "fax_number": "904-642-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "GEORGE",
        "middle_name": "MORRISON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME57406",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "030930",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME57406",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME57406",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009375000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "YOUNG",
            "middle_name": "M.",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.