Callie Bragg Young, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3730 Issued in SC

Practice address

303 Williams Ave SW Ste 1421
Huntsville, AL 35801-6008

Phone

(256) 536-4448

Fax

(256) 518-9073

NPI assigned

Jan 19, 2021

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• William E. Alison, Jr., MD, PC

  • Plastic and Reconstructive Surgery Physician
  • Huntsville, AL
  • NPI 1174749741
  Medicare reassignment

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1356931943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WILLIAMS AVE SW STE 1421",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016008",
            "telephone_number": "256-536-4448",
            "fax_number": "256-518-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WILLIAMS AVE SW STE 1421",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016008",
            "telephone_number": "256-536-4448",
            "fax_number": "256-518-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CALLIE",
        "middle_name": "BRAGG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2023-10-05",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4565PA",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A19535A",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Shaw York, LPC
• Yancy Carl York, OD
• You Matter LLC
• Adrianna Rose Young, ALC, NCC
• Aubrey P Young, MD
• Davon Young
• Elizabeth Anne Young, M.S.N., A.N.C.P.
• Emma Gabriella Young, RN
• Heather Young
• Javon Young

• Physician Assistant in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.