Jim Brian Young, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN16874 Issued in TN

Practice address

576 Fort Loudoun Medical Center Dr Ste 203
Lenoir City, TN 37772-5676

Phone

(865) 271-6095

Fax

(865) 271-6096

NPI assigned

Aug 14, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ken Kozawa I MD PC

  • Internal Medicine Physician
  • Sweetwater, TN
  • NPI 1508865445
  Medicare reassignment NPD
• Thompson Oncology Group

  dba DBA Covenant Health Oncology Group

  • Hematology & Oncology Physician
  • Knoxville, TN
  • NPI 1619975737
  Medicare reassignment NPD
• First Care Family Clinic LLC

  • Family Medicine Physician
  • Sale Creek, TN
  • NPI 1457692667
  NPD Authorized official
• Tunnel Hill Walk in Medical Center, LLC

  • Family Medicine Physician
  • Tunnel Hill, GA
  • NPI 1265706550
  NPD Authorized official
• Tennessee Cancer Specialists PLLC

  • Hematology & Oncology Physician
  • Morristown, TN
  • NPI 1275681421
  NPD (past)
• Tennessee Cancer Specialists PLLC

  • Hematology & Oncology Physician
  • Knoxville, TN
  • NPI 1841228871
  NPD (past)

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1952658403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E HILL AVE",
            "address_2": "SUITE 230",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379152566",
            "telephone_number": "865-862-3563",
            "fax_number": "865-544-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 FORT LOUDOUN MEDICAL CENTER DR STE 203",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725676",
            "telephone_number": "865-271-6095",
            "fax_number": "865-271-6096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Old Weisgarber Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379091327",
            "country_code": "US",
            "telephone_number": "865-934-5800",
            "fax_number": "865-934-5801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JIM",
        "middle_name": "BRIAN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-14",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN16874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q000026",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "young.jim.brian@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "576 Fort Loudoun Medical Center Dr Ste 203",
            "city": "Lenoir City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377725676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Wilson, PA
• Alexis Grace Woelk
• Kristen Marie Wolfenbarger, D.O.
• Emma Womack
• Gracie Wood, RN
• Nancy Young, PT
• Kenneth Zalewski, MSN- CRNA

• Family Nurse Practitioner in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.