Individual provider Active NPI

Carlton Quint Young, PA-C

  • Physician Assistant
  • Perry, FL
National Provider Identifier
1386682680
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102917 Issued in FL
Practice address
1211 N Center St
Perry, FL 32347-2037
Phone
(850) 838-2141
Fax
(850) 838-2140
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9102917 FL Primary

Addresses

Primary practice location

1211 N Center St
Perry, FL 32347-2037

Mailing address

415 E Elm St
Perry, FL 32347-1502
Phone (850) 838-2629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051004000848 FL Practitioner - Physician Assistant 4082649421 Reassigns benefits to 3 organizations
I20070501000007 GA Practitioner - Physician Assistant 4082649421 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc. Current Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince May 23, 2018 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince May 23, 2018 Accepting new patients
Doctors Memorial Hospital Inc CurrentSince Aug 19, 2021 Accepting new patients
Doctors Memorial Hospital Inc Past Accepting new patients
Perry Emergency Physicians LLC Past Accepting new patients
North Florida Emergency Physicians Past Accepting new patients
Ipn Emergency Physicians of North Florida PA Physician Assistant Past Accepting new patients
Doctors Memorial Hospital Inc Past Accepting new patients

Locations

224 NW Crane Ave
Madison, FL 32340
Phone (850) 253-1923

1211 N Center St
Perry, FL 32347
Phone (850) 584-2141

333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643

178 Lefall Dr
Quincy, FL 32351
Phone (850) 875-3600

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

Interoperability endpoints

  • Direct secure messaging: carlton.young.1@5867.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386682680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E ELM ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323471502",
            "telephone_number": "850-838-2629",
            "fax_number": "850-838-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N CENTER ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472037",
            "telephone_number": "850-838-2141",
            "fax_number": "850-838-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CARLTON",
        "middle_name": "QUINT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

Verify at the official NPI Registry.