Individual provider Active NPI

Aliya Maria Young

  • Family Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1881291151
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN225996 Issued in GA
Practice address
2104 E Victory Dr
Savannah, GA 31404-3918
Phone
(912) 600-1222
Fax
(912) 600-1262
NPI assigned
Oct 8, 2020
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 RN225996 GA Primary

Addresses

Primary practice location

2104 E Victory Dr
Savannah, GA 31404-3918

Mailing address

2104 E Victory Dr
Savannah, GA 31404-3918
Phone (912) 600-1222

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210326001814 GA Practitioner - Nurse Practitioner 0042627655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2104 E Victory Dr
Savannah, GA 31404-3918
Phone (912) 600-1222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN225996GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Ga PC CurrentSince Oct 26, 2024 Accepting new patients
Centerwell Senior Primary Care Ga PC CurrentSince Oct 26, 2024 Accepting new patients
Centerwell Senior Primary Care Ga PC Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1821 Mount Zion Rd
Morrow, GA 30260
Phone (470) 754-6380

Interoperability endpoints

  • Direct secure messaging: aliya.young.1@29601.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1881291151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 E VICTORY DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314043918",
            "telephone_number": "912-600-1222",
            "fax_number": "912-600-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 E VICTORY DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314043918",
            "telephone_number": "912-600-1222",
            "fax_number": "912-600-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ALIYA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN225996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.