Individual provider Active NPI

Jamie Young, M.D., PHD

  • Internal Medicine Physician
  • Rutherford College, NC
National Provider Identifier
1427092659
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2006-00149 Issued in NC
Practice address
560 Malcolm Blvd.
Rutherford College, NC 28671
Phone
(828) 879-4567
Fax
(828) 879-4560
NPI assigned
Jun 16, 2006
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2006-00149 NC Primary

Addresses

Primary practice location

560 Malcolm Blvd.
Rutherford College, NC 28671

Mailing address

PO Box 265
Rutherford College, NC 28671-0265
Phone (828) 879-4567

Other practice location 1

902 Kirkwood Ave NW
Lenoir, NC 28645-5121
Phone (828) 754-0101

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsyoung@amoremsupport.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060427000305 NC Practitioner - Internal Medicine 2466410774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 2001
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

104 Rhodes Ave
Windsor, NC 27983-9656
Phone (252) 794-3042

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006-00149NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bertie County Rural Health Association CurrentSince Aug 14, 2025 Accepting new patients
Bertie County Rural Health Association CurrentSince Aug 14, 2025 Accepting new patients
Caldwell Hospice and Palliative Care, Inc. PastSince Dec 18, 2023 Accepting new patients
Bertie County Rural Health Association PastSince Feb 2, 2020 Accepting new patients
Internal Medicine of Newton Co Internal Medicine Past Accepting new patients

Locations

104 Rhodes Ave
Windsor, NC 27983
Phone (252) 794-1835

Interoperability endpoints

  • Direct secure messaging: jamie.young@direct.bcrha.nchie.net
  • Direct secure messaging: jsyoung@amoremsupport.org
  • Direct secure messaging: jyoung746087@direct.ochin.org

Organizations & group practices 6

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1427092659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "RUTHERFORD COLLEGE",
            "state": "NC",
            "postal_code": "286710265",
            "telephone_number": "828-879-4567",
            "fax_number": "828-879-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 MALCOLM BLVD.",
            "city": "RUTHERFORD COLLEGE",
            "state": "NC",
            "postal_code": "28671",
            "telephone_number": "828-879-4567",
            "fax_number": "828-879-4560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 Kirkwood Ave NW",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286455121",
            "country_code": "US",
            "telephone_number": "828-754-0101",
            "fax_number": "828-757-0402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2006-00149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsyoung@amoremsupport.org",
            "affiliation": "N",
            "address_1": "902 Kirkwood Ave NW",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rutherford College, NC

Sources for this page

Verify at the official NPI Registry.