Organization Active NPI

Young Wellness Center, P.a.

Doing business as Precision Chiropractic

  • Chiropractor
  • Easley, SC
National Provider Identifier
1265605604
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1471 Issued in SC
Legal business name
YOUNG WELLNESS CENTER, P.A.
Doing business as
Precision Chiropractic
Practice address
4628 Calhoun Memorial Hwy
Easley, SC 29640-3829
Phone
(864) 855-2422
Fax
(864) 855-1908
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Dr. Jay Everette Young, D.C.NPI 1518034099
Title
Owner
Phone
(864) 855-2422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1471 SC Primary

Addresses

Primary practice location

4628 Calhoun Memorial Hwy
Easley, SC 29640-3829

Mailing address

4628 Calhoun Memorial Hwy
Easley, SC 29640-3829
Phone (864) 855-2422

Other names 1

  • Precision Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050217000790 SC Part B Supplier - Clinic/Group Practice 2860444841 Receives reassigned benefits from 1 practitioner
Practice locations: Easley, SC

National Provider Directory

National Provider Directory

Locations

4628 Calhoun Memorial Hwy
Easley, SC 29640
Phone (864) 855-2422

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1265605604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4628 CALHOUN MEMORIAL HWY",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403829",
            "telephone_number": "864-855-2422",
            "fax_number": "864-855-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4628 CALHOUN MEMORIAL HWY",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403829",
            "telephone_number": "864-855-2422",
            "fax_number": "864-855-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG WELLNESS CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "EVERETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-855-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.