Active NPI
William L. Young III, M.D.
- Family Medicine Physician
- Hickory, NC
National Provider Identifier
1598792962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22078
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8989828 | Medicaid | NC |
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
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Hickory, NC
- NPI 1396100871
-
- Family Medicine Physician
- Hickory, NC
- NPI 1730125238
-
- Family Medicine Physician
- Hickory, NC
- NPI 1427166032
-
- Family Medicine Physician
- Hickory, NC
- NPI 1932217551
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.