Active NPI
Cheryl L Young, DO
- Obstetrics & Gynecology Physician
- Lagrange, GA
National Provider Identifier
1912935818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 051574
- Practice address
- 106 Lukken Industrial Dr W
Lagrange, GA 30240-5912 - Phone
- (706) 880-7204
- Fax
- (706) 880-7289
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 27835 | MS | |
| Obstetrics & Gynecology Physician | 207V00000X | 051574 | GA | Primary |
Addresses
Primary practice location
106 Lukken Industrial Dr W
Lagrange, GA 30240-5912
Mailing address
106 Lukken Industrial Dr W
Lagrange, GA 30240-5912
Phone (706) 880-7204
Other practice location 1
1318 Harrison Ave
McComb, MS 39648-2830
Phone (601) 684-2300
Other practice location 2
225 Smithville Church Rd
Suite 1100
Warner Robins, GA 31088-9092
Phone (478) 929-0068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000967887B | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cyoung511560@directwellstar.org | Direct |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051574 | GA | MD | Obstetrics & Gynecology Physician |
| 27835 | MS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheryl L . Howard Young, DO, PC | Obstetrics & Gynecology | Past | Accepting new patients |
Interoperability endpoints
- cheryl.young.p1@direct.bmsi.nextgenshare.com
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.
-
- Obstetrics & Gynecology Physician
- Warner Robins, GA
- NPI 1851302129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1912935818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 LUKKEN INDUSTRIAL DR W",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302405912",
"telephone_number": "706-880-7204",
"fax_number": "706-880-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 LUKKEN INDUSTRIAL DR W",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302405912",
"telephone_number": "706-880-7204",
"fax_number": "706-880-7289"
}
],
"practiceLocations": [
{
"address_1": "1318 Harrison Ave",
"address_purpose": "LOCATION",
"city": "McComb",
"state": "MS",
"postal_code": "396482830",
"country_code": "US",
"telephone_number": "601-684-2300",
"fax_number": "601-684-2360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 Smithville Church Rd",
"address_2": "Suite 1100",
"address_purpose": "LOCATION",
"city": "Warner Robins",
"state": "GA",
"postal_code": "310889092",
"country_code": "US",
"telephone_number": "478-929-0068",
"fax_number": "478-929-1238",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "CHERYL",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MS",
"license": "27835",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "051574",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000967887B",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cyoung511560@directwellstar.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "106 Lukken Industrial Dr W",
"city": "LaGrange",
"state": "GA",
"country_code": "US",
"postal_code": "302405912",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.