Active NPI
Kimberly Young, M.D.
- Orthopaedic Hand Surgery Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 38890
- Practice address
- 1483 Tobias Gadson Blvd
Suite 202
Charleston, SC 29407-8702 - Phone
- (843) 763-2320
- Fax
- (843) 763-4198
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 38890 | SC | Primary |
Addresses
Primary practice location
1483 Tobias Gadson Blvd
Suite 202
Charleston, SC 29407-8702
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 388903 | Medicaid | SC |
Other names 1
- Kimberly Carney Young
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kimberly.Young@rsfpp.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- 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
- Hand Surgery
- Education
- State University of New York at Buffalo School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1483 Tobias Gadson Blvd
Suite 202
Charleston, SC 29407-4796
Phone (843) 763-2320
Hospital & facility affiliations
- Roper Hospital
- Bon Secours-St Francis Xavier Hospital
- Roper St Francis Hospital-Berkeley Inc
- Mount Pleasant Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper St. Francis Specialty Physicians | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Hand Surgery | Current | Accepting new patients |
| Roper Saint Francis Physicians Network | Past | Accepting new patients |
Locations
2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555
2093 Henry Tecklenburg Dr
Ste 200E
Charleston, SC 29414
Phone (843) 766-6494
2270 Ashley Crossing Dr
Ste 110
Charleston, SC 29414
Phone (843) 769-2000
1483 Tobias Gadson Blvd
Ste 202
Charleston, SC 29407
Phone (843) 763-2320
1 S Park Cir
Ste 400
Charleston, SC 29407
Phone (843) 789-1651
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
300 Callen Blvd
Ste 330
Summerville, SC 29486
Phone (843) 577-7550
Interoperability endpoints
- kyoung1236348@direct.bsmhealth.org
- kimberly.young@rsfpp.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
- Surgery Physician
- Ladson, SC
- NPI 1528945912
-
- Orthopaedic Hand Surgery Physician
- Charleston, SC
- NPI 1568740215
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
-
- Internal Medicine Physician
- Charleston, SC
- NPI 1013158187
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
-
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
-
- General Acute Care Hospital
- Mt Pleasant, SC
- NPI 1255645644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632614400000",
"number": "1366450082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "843-789-1620",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1483 TOBIAS GADSON BLVD",
"address_2": "SUITE 202",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294078702",
"telephone_number": "843-763-2320",
"fax_number": "843-763-4198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2021-09-26",
"certification_date": "2021-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "SC",
"license": "38890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "388903",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kimberly.Young@rsfpp.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "Document and CCD Exchange",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Patient Care Documents",
"address_1": "1483 Tobias Gadson Blvd",
"address_2": "Suite 202",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294078702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "CARNEY YOUNG",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2021; 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.