Alexis Young, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA4908 Issued in SC

Practice address

4126 Crest Ridge LN
Boiling Springs, SC 29316

Phone

(336) 991-8554

NPI assigned

Jul 25, 2023

Last updated

Jul 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wake Forest Emergency ProvidersGroup PAC ID 7012819816, 497 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.7 of 100Reported as apm

Quality

89.4

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Wake Forest Emergency Providers

  • Multi-Specialty Clinic/Center
  • Statesville, NC
  • NPI 1396216735
  Medicare reassignment Care Compare group NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Emergency Medicine

  • Emergency Medicine Physician
  • Spartanburg, SC
  • NPI 1699729939
  Medicare reassignment NPD
• Pelham Medical Center

  dba Medical Group of the Carolinas - Emergency Medicine - Pelham

  • Emergency Medicine Physician
  • Greer, SC
  • NPI 1619133568
  Medicare reassignment
• Pelham Medical Center

  dba Medical Group of the Carolinas - Inpatient Medicine - Pelham

  • Internal Medicine Physician
  • Greer, SC
  • NPI 1245496983
  NPD
• Pelham Medical Center

  dba PMC Center for Urology Pelham

  • Pain Medicine Physician
  • Greer, SC
  • NPI 1942960844
  NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas Pain Management Wood Street

  • Physical Medicine & Rehabilitation Physician
  • Spartanburg, SC
  • NPI 1942188875
  NPD

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1275214116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 CREST RIDGE LN",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "29316",
            "telephone_number": "336-991-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 CREST RIDGE LN",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "29316",
            "telephone_number": "336-991-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ALEXIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "PA4908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Leanne Wickliffe-Keisler, M.D.
• Tanya Kyzer Williams, RPH
• Lynn Christine Wincenciak, PHARMD
• Roxanne Wittman, APRN
• Shamai Aviona Wyatt
• Kim Young
• Shericka Ciera Young, LPC
• Aleksey Zelenko, DMD
• Kelly Renee Zimmerman, AADCP-IP
• Sarrah Marie Zura

• Physician Assistant in Boiling Springs, SC
• Providers in Boiling Springs, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.