NPIMap

Individual provider Active NPI

Tonya J Youngblood, MD

  • Family Medicine Physician
  • Pittsburg, TX
National Provider Identifier
1295701969
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L1249 Issued in TX
Practice address
2701 US Highway 271 N
Pittsburg, TX 75686-4289
Phone
(903) 946-5442
Fax
(903) 946-5258
NPI assigned
Feb 23, 2006
Last updated
Apr 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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 L1249 TX Primary

Addresses

Primary practice location

2701 US Highway 271 N
Pittsburg, TX 75686-4289

Mailing address

2701 US Highway 271 N
Pittsburg, TX 75686-4289
Phone (903) 946-5442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050705000361 TX Practitioner - Family Practice 0143266858 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians
Pittsburg Hospital LLCGroup PAC ID 5597029272, shared by 3 NPIs, 16 clinicians

Practice addresses (Care Compare)

2701 US Hwy 271 N
Pittsburg, TX 75686-4289
Phone (903) 946-5442

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Ellis County Medical Associates Family Medicine CurrentSince Oct 1, 2006 Accepting new patients
Starks Medical Past Accepting new patients
Mississippi Baptist Medical Center, Inc. Past Accepting new patients
Pittsburg Hospital LLC Past Accepting new patients
Christus Trinity Clinic Texas Past Accepting new patients
Trinity Clinic Past Accepting new patients

Locations

340 Seven Springs Way
Ste 100
Brentwood, TN 37027
Phone (615) 296-3000

802 W Lampasas St
Ennis, TX 75119
Phone (972) 875-4700

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGFCAA
  • Direct secure messaging: tyoungblood355099@ahs.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1295701969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 US HIGHWAY 271 N",
            "city": "PITTSBURG",
            "state": "TX",
            "postal_code": "756864289",
            "telephone_number": "903-946-5442",
            "fax_number": "903-946-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 US HIGHWAY 271 N",
            "city": "PITTSBURG",
            "state": "TX",
            "postal_code": "756864289",
            "telephone_number": "903-946-5442",
            "fax_number": "903-946-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "TONYA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, TX

Sources for this page

Verify at the official NPI Registry.