Active NPI
Xiang You, MD
- Family Medicine Physician
- Waycross, GA
National Provider Identifier
1265181192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 97951
- Practice address
- 1900 Tebeau St
Waycross, GA 31501-6357 - Phone
- (912) 662-0088
- NPI assigned
- Mar 18, 2022
- 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 | 13716 | GA | |
| Family Medicine Physician | 207Q00000X | 97951 | GA | Primary |
Addresses
Primary practice location
1900 Tebeau St
Waycross, GA 31501-6357
Mailing address
1900 Tebeau St
Waycross, GA 31501-6357
Phone (678) 237-5265
Other practice location 1
71 Johnson St
Nahunta, GA 31553-4032
Phone (678) 237-5265
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240103000368 | GA | Order and Referring Only - Family Practice | 7618327636 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13716 | GA | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- xiang.you.1@25110.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1265181192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 TEBEAU ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315016357",
"telephone_number": "678-237-5265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 TEBEAU ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315016357",
"telephone_number": "912-662-0088"
}
],
"practiceLocations": [
{
"address_1": "71 Johnson St",
"address_purpose": "LOCATION",
"city": "Nahunta",
"state": "GA",
"postal_code": "315534032",
"country_code": "US",
"telephone_number": "678-237-5265",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOU",
"first_name": "XIANG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-18",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "GA",
"license": "13716",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "97951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.