Individual provider Active NPI

Charles Richard Young, M.D.

  • Family Medicine Physician
  • Marshall, NC
National Provider Identifier
1891782322
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0039503 Issued in NC
Practice address
590 Medical Park Dr
Marshall, NC 28753-6807
Phone
(828) 649-3500
Fax
(828) 649-1032
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0039503 NC Primary

Addresses

Primary practice location

590 Medical Park Dr
Marshall, NC 28753-6807

Mailing address

PO Box 69
Marshall, NC 28753-0069
Phone (828) 649-9566

Other identifiers 2

IdentifierTypeStateIssuer
N39503MedicaidSC
8989822MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100304000346 NC Practitioner - Family Practice 6103961990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hot Springs Health Program IncGroup PAC ID 7214904325, 26 clinicians

Practice addresses (Care Compare)

119 Mountain View Rd
Mars Hill, NC 28753-9500
Phone (828) 689-3507

590 Medical Park Dr
Marshall, NC 28753-6807

66 NW US 25 70 Hwy
Hot Springs, NC 28743-9642
Phone (828) 622-3245

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0039503NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hot Springs Health Program, Inc. CurrentSince Oct 23, 2014 Accepting new patients
Hot Springs Health Program, Inc. Current Accepting new patients
Hot Springs Health Program, Inc. CurrentSince Oct 23, 2014 Accepting new patients
Hot Springs Health Program, Inc. Past Accepting new patients
Hot Springs Health Program, Inc. Past Accepting new patients

Locations

119 Mountain View Rd
Mars Hill, NC 28754
Phone (828) 689-3491

590 Medical Park Dr
Marshall, NC 28753
Phone (828) 649-3500

80 Guntertown Rd
Marshall, NC 28753
Phone (828) 656-2611

590 Medical Park Dr
Ste A
Marshall, NC 28753

Interoperability endpoints

  • Direct secure messaging: cyoung371626@direct.ochin.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1891782322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "287530069",
            "telephone_number": "828-649-9566",
            "fax_number": "828-649-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MEDICAL PARK DR",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "287536807",
            "telephone_number": "828-649-3500",
            "fax_number": "828-649-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CHARLES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "0039503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N39503",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8989822",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, NC

Sources for this page

Verify at the official NPI Registry.