Individual provider Active NPI

William L. Young III, M.D.

  • Family Medicine Physician
  • Hickory, NC
National Provider Identifier
1598792962
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22078 Issued in NC
Practice address
52 12TH Ave NE
Hickory, NC 28601-2695
Phone
(828) 328-2941
Fax
(828) 328-4049
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22078 NC Primary

Addresses

Primary practice location

52 12TH Ave NE
Hickory, NC 28601-2695

Mailing address

52 12TH Ave NE
Hickory, NC 28601-2695
Phone (828) 328-2941

Other identifiers 1

IdentifierTypeStateIssuer
8989828MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hickory Family Practice Associates, PA Family Medicine Current Accepting new patients
DLP Hickory Family Practice Associates LLC Family Medicine Current Accepting new patients
Hickory Long Term Care Family Medicine Past Accepting new patients
John Keith Earl Family Medicine Past Accepting new patients

Locations

52 12th Ave NE
Hickory, NC 28601
Phone (828) 328-2941

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598792962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 12TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012695",
            "telephone_number": "828-328-2941",
            "fax_number": "828-328-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 12TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012695",
            "telephone_number": "828-328-2941",
            "fax_number": "828-328-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "WILLIAM",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "22078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8989828",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.