Travis A Young, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN274244 Issued in GA

Practice address

114 Northpark Dr
Brunswick, GA 31520-2184

Phone

(912) 268-4471

Fax

(912) 771-8053

NPI assigned

Jan 8, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edward Dipreta MD P.C.Group PAC ID 3072691971, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.68 of 100Reported as group

Quality

89.37

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Edward Dipreta MD PC

  dba Brunswick Dermatology and Camden Dermatology

  • Dermatology Physician
  • Brunswick, GA
  • NPI 1952587297
  Medicare reassignment Care Compare group NPD
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1750779039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 E PARK AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204241",
            "telephone_number": "912-265-2142",
            "fax_number": "912-265-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 NORTHPARK DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315202184",
            "telephone_number": "912-268-4471",
            "fax_number": "912-771-8053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3008 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315204241",
            "country_code": "US",
            "telephone_number": "912-265-2142",
            "fax_number": "912-265-0530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Winding Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsland",
            "state": "GA",
            "postal_code": "315487856",
            "country_code": "US",
            "telephone_number": "912-510-7546",
            "fax_number": "912-510-7550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 S Macon St",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "GA",
            "postal_code": "315450242",
            "country_code": "US",
            "telephone_number": "912-427-4344",
            "fax_number": "912-427-4303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TRAVIS",
        "middle_name": "A",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-08",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014039709",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN274244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Bert Yeargan Sr., DMD
• Shyamala Yennam, MD
• Sarah Eve Yeskel, PA-C
• Crystal Lynn Yoder-Sheehan, LMSW-CC
• Christan E. York, L.C.S.W.
• Alan Bryan Youngner, RPH
• Jennifer Mary Zak, LPC
• Joanne Marie Zanetos, FNP
• John Robert Zechmann, O.D.
• Zhen Wellness Advanced Nutrition Consulting and Chiropractic (Advanced Wellness of the Golden Isles)

• Nurse Practitioner in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.

Verify at the official NPI Registry.