NPIMap

Individual provider Active NPI

Ericka S. Young, D.O

  • Family Medicine Physician
  • Colonial Heights, VA
National Provider Identifier
1285795476
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102201811 Issued in VA
Practice address
524 Southpark Blvd
Colonial Heights, VA 23834-3609
Phone
(804) 504-7980
Fax
(804) 554-5387
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102201811 VA Primary

Addresses

Primary practice location

524 Southpark Blvd
Colonial Heights, VA 23834-3609

Mailing address

524 Southpark Blvd
Colonial Heights, VA 23834-3609
Phone (804) 504-7980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070911000809 VA Practitioner - Family Practice 3870686546 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians

Practice addresses (Care Compare)

23020 Main St
Courtland, VA 23837-1133
Phone (540) 814-5344

Hospital & facility affiliations

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
0102201811VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC CurrentSince Aug 23, 2025 Accepting new patients
PMR Virginia Holding, LLC CurrentSince Aug 6, 2024 Accepting new patients
Universal Health Corporation CurrentSince Sep 10, 2025 Accepting new patients
Jencare Neighborhood Medical South Park LLC CurrentSince Aug 6, 2024 Accepting new patients
Internal Medicine & Pediatric Past Accepting new patients
MCV Associated Physicians Family Medicine PastSince Dec 24, 2009 Accepting new patients
Commonwealth Primary Care Family Medicine Past Accepting new patients
Jencare Neighborhood Medical East Richmond, LLC PastSince Sep 4, 2012 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2400 McKinney Blvd
Colonial Beach, VA 22443
Phone (804) 224-2222

524 Southpark Blvd
Colonial Hgts, VA 23834
Phone (804) 504-7980

23020 Main St
Courtland, VA 23837
Phone (751) 653-0908

2003 Cobb St
Farmville, VA 23901
Phone (434) 392-6106

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

1 Autumn Ct
Madison, VA 22727
Phone (540) 948-3054

3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

456 E Main St
Waverly, VA 23890
Phone (804) 834-3975

Interoperability endpoints

  • Direct secure messaging: ericka.young.1@28421.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1285795476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 SOUTHPARK BLVD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343609",
            "telephone_number": "804-504-7980",
            "fax_number": "804-554-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 SOUTHPARK BLVD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343609",
            "telephone_number": "804-504-7980",
            "fax_number": "804-554-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ERICKA",
        "middle_name": "S.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102201811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.