Individual provider Active NPI

Christopher Colin Young, DPM

  • Foot Surgery Podiatrist
  • Wilmington, NC
National Provider Identifier
1639161946
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
400 Issued in NC
Practice address
1606 Wellington Ave Ste C
Wilmington, NC 28401-7704
Phone
(910) 763-9334
Fax
(910) 763-9339
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 510 SC
Foot Surgery Podiatrist 213ES0131X 400 NC Primary

Addresses

Primary practice location

1606 Wellington Ave Ste C
Wilmington, NC 28401-7704

Mailing address

1606 Wellington Ave Ste C
Wilmington, NC 28401-7704
Phone (910) 763-9334

Other identifiers 1

IdentifierTypeStateIssuer
890800TMedicaidNC

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090722000322 NC Practitioner - Podiatry 2961554910 Practice locations: Wilmington, NC

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1606 Wellington Ave
Suite C
Wilmington, NC 28401-7704
Phone (910) 763-9334

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.46 of 100Reported as individual
Quality
63.94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1002
Removal of skin lesions1-10
Removal of nail tissue1001
Removal or shaving of skin growth859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
510SCMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher C Young DPM Foot Surgery CurrentSince Mar 20, 2002 Accepting new patients
South Coast Foot and Ankle Inc Past Accepting new patients

Locations

1606 Wellington Ave
Ste C
Wilmington, NC 28401
Phone (910) 799-4505

Interoperability endpoints

  • Direct secure messaging: cyoung1253564@direct.novanthealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1639161946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 WELLINGTON AVE STE C",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017704",
            "telephone_number": "910-763-9334",
            "fax_number": "910-763-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 WELLINGTON AVE STE C",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017704",
            "telephone_number": "910-763-9334",
            "fax_number": "910-763-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CHRISTOPHER",
        "middle_name": "COLIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "SC",
            "license": "510",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890800T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.