Bobby Young Joe, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

13992 Issued in TN

Practice address

13615 Old Highway 61 North
Harrah'S Take Care Health and Wellness Clinic
Robinsonville, MS 38664

Phone

(662) 357-3264

NPI assigned

May 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Bobby Young Joe Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tennessee Em-I Medical Services, PC

  • Emergency Medicine Physician
  • Bartlett, TN
  • NPI 1386692754
  NPD (past)

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1720037005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 PROUD LAND DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381199140",
            "telephone_number": "901-754-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13615 OLD HIGHWAY 61 NORTH",
            "address_2": "HARRAH'S TAKE CARE HEALTH AND WELLNESS CLINIC",
            "city": "ROBINSONVILLE",
            "state": "MS",
            "postal_code": "38664",
            "telephone_number": "662-357-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOE",
        "first_name": "BOBBY",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "13992",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "9626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBY",
            "last_name": "JOE",
            "middle_name": "YOUNG",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Community Partners for Seniors LLC
• Angela Ealy, NP
• Daniella S Ellis, FNP
• Melanie Jo Hill, MSN, APRN, FNP-BC
• Leslie Yvette Horton
• Lapearls Residential and Private Care Facility
• Shaletha Martin, NP
• Garnette Miller, DNP FNP BC
• Premise Health of Mississippi Medical PC

• Emergency Medicine Physician in Robinsonville, MS
• Providers in Robinsonville, MS by specialty
• Emergency Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.