Sydney Blake Younts, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4744 Issued in TN

Practice address

2244 Boones Creek Road
Johnson City, TN 37615

Phone

(423) 753-4000

Fax

(423) 753-4004

NPI assigned

Aug 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 28, 2023 through Nov 28, 2027

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1630195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1649947383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5278",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37602",
            "telephone_number": "423-753-4000",
            "fax_number": "423-753-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 BOONES CREEK ROAD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37615",
            "telephone_number": "423-753-4000",
            "fax_number": "423-753-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNTS",
        "first_name": "SYDNEY",
        "middle_name": "BLAKE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-29",
        "last_updated": "2023-09-13",
        "certification_date": "2021-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark F. Young, M.D.
• Sydney Miller Young
• Takeem Young
• Tina Young
• Shawn Youngman, FNP
• Dima Youssef, MD
• Youth Villages
• Youth Villages
• Youth Villages
• Tiffany Ann Ysidron

• Physician Assistant in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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; Opt Out Affidavits.
• 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.