Individual provider Active NPI

G Charles Young

  • Hearing Instrument Specialist
  • Columbia, SC
National Provider Identifier
1912297912
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
164 Issued in SC
Practice address
1607 Bernardin Ave
Columbia, SC 29204-2003
Phone
(803) 254-7666
Fax
(803) 254-2223
NPI assigned
Apr 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 164 SC Primary

Addresses

Primary practice location

1607 Bernardin Ave
Columbia, SC 29204-2003

Mailing address

PO Box 22
Columbia, SC 29202-0022
Phone (803) 254-7666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
164SCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Young's Hearing Aid Service CurrentSince Feb 1, 2022 Accepting new patients

Locations

1607 Bernardin Ave
Columbia, SC 29204
Phone (803) 254-7666

Organizations & group practices 1

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1912297912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292020022",
            "telephone_number": "803-254-7666",
            "fax_number": "803-254-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 BERNARDIN AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042003",
            "telephone_number": "803-254-7666",
            "fax_number": "803-254-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "G",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "SC",
            "license": "164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.