Individual provider Active NPI

Everett Glenn Young, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Watkinsville, GA
National Provider Identifier
1932693280
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
99894 Issued in GA
Practice address
1272 Virgil Langford Rd
Watkinsville, GA 30677-7245
Phone
(770) 292-6500
Fax
(770) 292-6535
NPI assigned
Jun 20, 2018
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X TRN27081 FL
Orthopaedic Surgery Physician 207X00000X MD481748 PA
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 99894 GA Primary

Addresses

Primary practice location

1272 Virgil Langford Rd
Watkinsville, GA 30677-7245

Mailing address

1272 Virgil Langford Rd
Athens, GA 30606
Phone (770) 758-7903

Other practice location 1

2630 Holme Ave
Philadelphia, PA 19152-3004
Phone (215) 335-6270

Other practice location 2

1222 S Orange Ave Fl 5
Orlando, FL 32806-1215
Phone (321) 841-1764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240227000853 PA Practitioner - Orthopedic Surgery 4587009899 Reassigns benefits to 1 organization
I20240903002627 GA Practitioner - Orthopedic Surgery 4587009899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
North Carolina Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Joint Surgery Specialists, LLCGroup PAC ID 2961795190, 46 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1000 Cowles Clinic Way
Suite C 200
Greensboro, GA 30642-5287
Phone (770) 292-6500

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 389-3000

1272 Virgil Langford Rd
Watkinsville, GA 30677-7245
Phone (770) 292-6500

2800 Buford Dr
Buford, GA 30519-5107
Phone (770) 292-6500

3400 A Old Milton Pkwy
Alpharetta, GA 30005-4438
Phone (770) 667-4343

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

723 Baxter St
Athens, GA 30605-1109
Phone (706) 355-3035

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement14
Knee replacement13
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN27081FLMDOrthopaedic Surgery Physician
MD481748PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Joint Surgery Specialists, LLC Orthopaedic Surgery CurrentSince Sep 1, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Feb 14, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Feb 14, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients
Orlando Health Medical Group Inc Orthopaedic Surgery Past Accepting new patients
Northside Surgical Professional Services LLC Past Accepting new patients
Reconstructive Orthopaedic Associates II LLC Orthopaedic Surgery PastSince Mar 1, 2024 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 290
Alpharetta, GA 30005
Phone (770) 667-4343

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1272 Virgil Langford Rd
Watkinsville, GA 30677
Phone (706) 449-0273

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2630 Holme Ave
Ste 200
Philadelphia, PA 19152
Phone (215) 332-3972

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1932693280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 VIRGIL LANGFORD RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "770-758-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 VIRGIL LANGFORD RD",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777245",
            "telephone_number": "770-292-6500",
            "fax_number": "770-292-6535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2630 Holme Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191523004",
            "country_code": "US",
            "telephone_number": "215-335-6270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1222 S Orange Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061215",
            "country_code": "US",
            "telephone_number": "321-841-1764",
            "fax_number": "321-841-1870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "EVERETT",
        "middle_name": "GLENN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "TRN27081",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD481748",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "GA",
            "license": "99894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.