Individual provider Active NPI

Carol Anne Youngstrom, FNP-C

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1760809248
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN145165 Issued in GA
Practice address
4328 Armour Rd
Columbus, GA 31904-5204
Phone
(706) 507-1213
Fax
(706) 507-1218
NPI assigned
Mar 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN145165 GA Primary

Addresses

Primary practice location

4328 Armour Rd
Columbus, GA 31904-5204

Mailing address

1804 48TH St
Phenix City, AL 36867-1728
Phone (706) 566-1053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141104001793 GA Practitioner - Nurse Practitioner 6204058472 Reassigns benefits to 3 organizations
I20200807003012 AL Practitioner - Nurse Practitioner 6204058472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Group of Columbus LLCGroup PAC ID 2668735515, 40 clinicians

Practice addresses (Care Compare)

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1000

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince Jul 1, 2020 Accepting new patients
Emergency Group of Columbus, LLC CurrentSince Dec 30, 2017 Accepting new patients
Heritage Physician Services, LLC CurrentSince Sep 1, 2021 Accepting new patients
Afc Physicians of Georgia Primary Care, PC Current Accepting new patients
Afc Physicians of Georgia Primary Care, PC CurrentSince Feb 13, 2019 Accepting new patients
American Family Care, LLC CurrentSince Apr 13, 2021 Accepting new patients
Rural Urgent Care LLC CurrentSince Jul 1, 2020 Accepting new patients
American Family Care, LLC CurrentSince Apr 13, 2021 Accepting new patients
Rivertown Medical Clinic Past Accepting new patients

Locations

1902 S College St
Auburn, AL 36832
Phone (334) 758-2020

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

2544 Enterprise Dr
Opelika, AL 36801
Phone (334) 528-9050

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1760809248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 48TH ST",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368671728",
            "telephone_number": "706-566-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 ARMOUR RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045204",
            "telephone_number": "706-507-1213",
            "fax_number": "706-507-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGSTROM",
        "first_name": "CAROL",
        "middle_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN145165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.