Gregory Girard Young, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

262 Issued in NC

Practice address

1919 S 16TH St
Wilmington, NC 28401-6610

Phone

(910) 763-9334

Fax

(910) 763-9339

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1689676009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S 16TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016610",
            "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": "1919 S 16TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016610",
            "telephone_number": "910-763-9334",
            "fax_number": "910-763-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "GREGORY",
        "middle_name": "GIRARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0817C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890265N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adison Joelle Young
• Amanda Young, LPA, LCAS
• Ashley Young
• Christopher Colin Young, DPM
• Debra Umhoefer Young, M.ED, LCMHC, CCHT
• Kathleen Marie Young, PHD, MPH
• Rebecca Mackenzie Young, LCSWA
• Robert Lee Young, DO
• Tori Young, AGNP-C, BSN, RN
• Hiba Mohamed Younis

• Primary Podiatric Medicine Podiatrist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Primary Podiatric Medicine Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.