Johnny Shan Young, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

15920 Issued in AL

Practice address

409 E 10TH St Ste 300
Anniston, AL 36207-4781

Phone

(256) 435-1399

Fax

(256) 435-1911

NPI assigned

Feb 16, 2006

Sex

Male

Sole proprietor

Yes

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: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Emory University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078
• Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnny.young.1@12011.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/12011/brand/1/csg/1/fhir/r4

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.

• J. Shan Young, MD LLC

  • Gynecology Physician
  • Anniston, AL
  • NPI 1245735349
  Medicare reassignment NPD

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

• Gadsden Regional Medical Center LLC

  • General Acute Care Hospital
  • Gadsden, AL
  • NPI 1225081516
  Care Compare affiliation
• The Health Care Authority of the City of Anniston

  • General Acute Care Hospital
  • Anniston, AL
  • NPI 1003996000
  Care Compare affiliation

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1508830340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8061",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362028061",
            "telephone_number": "256-435-1399",
            "fax_number": "256-435-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E 10TH ST STE 300",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074781",
            "telephone_number": "256-435-1399",
            "fax_number": "256-435-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JOHNNY",
        "middle_name": "SHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "15920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00083944",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "83944",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Yarbrough Yates, FNP
• Richard Yates, LPC
• Richard L Yoakum, L.P.C.
• Cassandra Faye Yonts
• Eric Dale Young, M.S.
• Willard Oliver Youngblood, RPH
• Zachary O. Howard, D.C., LLC
• David Zinn, M.D.

• Specialist in Anniston, AL
• Providers in Anniston, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.

Verify at the official NPI Registry.