CAROL RAY YOUNG MD NPI 1124005897

NPI Information

NPI: 1124005897
Provider Name: CAROL RAY YOUNG, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
512 VILLAGE RD STE 101
SHALLOTTE, NC
ZIP 28470
Phone: (910) 721-4390
Get Directions

Carol Ray Young, MD is a pulmonary disease internal medicine in Shallotte, NC with 32 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Carol Ray Young, MD NPI is 1124005897. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

512 VILLAGE RD STE 101
SHALLOTTE, NC
ZIP 28470-409
Phone: (910) 721-4390
Fax: (910) 721-4399

The NPI 1124005897 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/23/2005 and was last updated on 7/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease	32308	SOUTH CAROLINA	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	0101050316	VIRGINIA	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	9801123	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	N01124	MEDICAID	SOUTH CAROLINA
2	891220N	MEDICAID	NORTH CAROLINA
3	GP3912	OTHER	SOUTH CAROLINA	MEDICAID GROUP
4	GP4306	OTHER	SOUTH CAROLINA	MEDICAID GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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