Active NPI
Scott A Young, PA-C
- Medical Physician Assistant
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- TL1317
- Practice address
- 316 Calhoun St
Charleston, SC 29401-1113 - Phone
- (843) 724-2000
- Fax
- (843) 805-6277
- NPI assigned
- Jul 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 102612 | NC | |
| Medical Physician Assistant | 363AM0700X | TL1317 | SC | Primary |
Addresses
Primary practice location
316 Calhoun St
Charleston, SC 29401-1113
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-9200
Other practice location 1
3623 Latrobe Dr
Suite 216
Charlotte, NC 28211-4864
Phone (704) 332-1291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Medical University of South Carolina College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2085 Henry Tecklenburg Dr
Suite 105
Charleston, SC 29414-7711
Phone (843) 724-2154
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1783
3500N Hwy 17
Mount Pleasant, SC 29466-9123
Phone (843) 606-7595
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1317 | SC | MD | Clinical Psychologist |
| 102612 | NC | MD | Medical Physician Assistant |
| TL1317 | SC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revelstone Family Practice | Past | Accepting new patients | |
| Cabarrus Family Medicine | Past | Accepting new patients | |
| Stanly Medical Services | Past | Accepting new patients | |
| Cabarrus Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/c32cb33f-ec61-4f25-9140-0b9b174fe4db/
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Charleston, SC
- NPI 1992789473
-
- Primary Care Clinic/Center
- Concord, NC
- NPI 1679758759
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Concord, NC
- NPI 1750566832
-
- Family Medicine Physician
- Albemarle, NC
- NPI 1790143436
-
- Gastroenterology Physician
- Albemarle, NC
- NPI 1174812507
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
-
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
-
- General Acute Care Hospital
- Mt Pleasant, SC
- NPI 1255645644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1699705103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-384-9200",
"fax_number": "704-384-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 CALHOUN ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294011113",
"telephone_number": "843-724-2000",
"fax_number": "843-805-6277"
}
],
"practiceLocations": [
{
"address_1": "3623 Latrobe Dr",
"address_2": "Suite 216",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282114864",
"country_code": "US",
"telephone_number": "704-332-1291",
"fax_number": "704-332-5206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "SCOTT",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "102612",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "TL1317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
- 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.