Jordan T Young MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JORDAN T YOUNG MD, PA

Practice address

9332 State Road 54 Ste 202
Trinity, FL 34655-1810

Phone

(727) 597-4441

Fax

(727) 597-4445

NPI assigned

May 10, 2012

Last updated

May 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jordan Terrell Young, MDNPI 1457371684

Title

Physician

Phone

(252) 258-6375

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan Young, M.D.

  • Internal Medicine Physician
  • Trinity, FL
  • NPI 1457371684
  Medicare reassignment NPD Authorized official
• Rebecca Hodges, ARNP

  • Gerontology Nurse Practitioner
  • Hudson, FL
  • NPI 1780128298
  NPD (past)
• Robert A Young, MD

  • Internal Medicine Physician
  • Hudson, FL
  • NPI 1235155243
  NPD (past)

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1679832737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9332 STATE ROAD 54 STE 202",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551810",
            "telephone_number": "727-597-4441",
            "fax_number": "727-597-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9332 STATE ROAD 54 STE 202",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551810",
            "telephone_number": "727-597-4441",
            "fax_number": "727-597-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN T YOUNG MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "TERRELL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "252-258-6375",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME112761",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009376200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Alexander Jolly, MD
• Brant Michael Jones
• Jess Jones
• Kiera Jones
• Ramu Srinivas Jonnalagadda, M.D.
• Jordan Jordan-Topp, APRN
• Michael Couzens Jordan, MD
• Journey Psychiatry & Behavioral Health LLC
• Roji Joykutty
• Ricardo Javier Julia Diaz

• Internal Medicine Physician in Trinity, FL
• Providers in Trinity, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.