Individual provider Active NPI

Adrienne Hope Mott-Young, MD

  • Pediatrics Physician
  • Marysville, OH
National Provider Identifier
1992099576
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.146938 Issued in OH
Practice address
17853 State Route 31
Marysville, OH 43040-8520
Phone
(937) 578-4210
Fax
(937) 578-4220
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.146938 OH Primary

Addresses

Primary practice location

17853 State Route 31
Marysville, OH 43040-8520

Mailing address

17853 State Route 31
Marysville, OH 43040-8520
Phone (937) 578-4210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230113000660 OH Practitioner - Pediatric Medicine 2769610674 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Pediatrics CurrentSince Jan 1, 2023 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

17853 State Route 31
Marysville, OH 43040
Phone (937) 578-4200

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: amottyoung19096@copcp.medicity.net

Organizations & group practices 3

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": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1992099576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17853 STATE ROUTE 31",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408520",
            "telephone_number": "937-578-4210",
            "fax_number": "937-578-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17853 STATE ROUTE 31",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408520",
            "telephone_number": "937-578-4210",
            "fax_number": "937-578-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT-YOUNG",
        "first_name": "ADRIENNE",
        "middle_name": "HOPE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.146938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

Verify at the official NPI Registry.