Active NPI
Stephen L Young, MD
- Geriatric Medicine (Internal Medicine) Physician
- Chapel Hill, NC
National Provider Identifier
1740371871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 9501469
- Practice address
- 211 Friday Center Dr
Suite 2057
Chapel Hill, NC 27517-9499 - Phone
- (919) 966-4996
- Fax
- (919) 843-6949
- NPI assigned
- Sep 27, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0095-01469 | NC | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 9501469 | NC | Primary |
Addresses
Primary practice location
211 Friday Center Dr
Suite 2057
Chapel Hill, NC 27517-9499
Mailing address
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (919) 966-4996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8989741 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0095-01469 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice of Wake County, Inc. | Current | Accepting new patients | |
| Transitions Medical Partners LLC | Geriatric Medicine | Current | Accepting new patients |
| Cornelia Nixon Davis Inc. | Past | Accepting new patients | |
| Health Sciences Foundation Inc. | Internal Medicine | Past | Accepting new patients |
Locations
250 Hospice Cir
Raleigh, NC 27607
Phone (919) 828-0890
Interoperability endpoints
- syoung12302@direct.unc.nchie.net
Organizations & group practices 4
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.
-
- Community Based Hospice Care Agency
- Raleigh, NC
- NPI 1518974609
-
- Geriatric Medicine (Internal Medicine) Physician
- Raleigh, NC
- NPI 1437727542
-
- Physical Therapist
- Wilmington, NC
- NPI 1063703866
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1942288600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392336000000",
"number": "1740371871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MANNING DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144220",
"telephone_number": "919-966-4996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 FRIDAY CENTER DR",
"address_2": "SUITE 2057",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275179499",
"telephone_number": "919-966-4996",
"fax_number": "919-843-6949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "STEPHEN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2014-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "0095-01469",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NC",
"license": "9501469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8989741",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.