Individual provider Active NPI

Cheryl L Young, DO

  • Obstetrics & Gynecology Physician
  • Lagrange, GA
National Provider Identifier
1912935818
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
051574 Issued in GA
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

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000967887BMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
051574GAMDObstetrics & Gynecology Physician
27835MSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cheryl L . Howard Young, DO, PC Obstetrics & Gynecology PastSince Dec 19, 2003 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.