Active NPI
Edward H Young, M.D.
- Internal Medicine Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036325
- Practice address
- 6501 Peake Rd
#700
Macon, GA 31210-8042 - Phone
- (478) 476-9285
- NPI assigned
- Jan 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036325 | GA | Primary |
Addresses
Primary practice location
6501 Peake Rd
#700
Macon, GA 31210-8042
Mailing address
6501 Peake Rd
#700
Macon, GA 31210-8042
Phone (478) 476-9285
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000518207G | Medicaid | GA | |
| 52029199 | Other | GA | BCBS OF GEORGIA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Mercer University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-7444
821 N Cobb St
Milledgeville, GA 31061-2343
Phone (478) 633-7550
Hospital & facility affiliations
- Atrium Health Navicent at Home
- Atrium Health Navicent the Medical Center
- Navicent Health Baldwin
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036325 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Macon, LLC | Internal Medicine | Current | Accepting new patients |
| Hospital Specialists, PC | Internal Medicine | Past | Accepting new patients |
| Hospital Specialists of Dublin, PC | Internal Medicine | Past | Accepting new patients |
Locations
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
777 Hemlock St
#104
Macon, GA 31201
Phone (478) 633-7550
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Macon, GA
- NPI 1073564217
-
- Internal Medicine Physician
- Dublin, GA
- NPI 1922172626
-
- Internal Medicine Physician
- Macon, GA
- NPI 1588741516
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milledgeville, GA
- NPI 1841701562
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
-
- Home Health Agency
- Macon, GA
- NPI 1831287655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1356494595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 PEAKE RD",
"address_2": "#700",
"city": "MACON",
"state": "GA",
"postal_code": "312108042",
"telephone_number": "478-476-9285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 PEAKE RD",
"address_2": "#700",
"city": "MACON",
"state": "GA",
"postal_code": "312108042",
"telephone_number": "478-476-9285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "EDWARD",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "036325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000518207G",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF GEORGIA",
"identifier": "52029199",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.