KELLY YOUNG (NPI# 1760770770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760770770 |
| Entity Type | Organization |
| Organization Name | KELLY YOUNG |
| Practice Address |
1874 Beltline Rd Sw Decatur AL 35601-5514 |
| Mailing Address |
222 Brockton Dr Madison AL 35756-4048 |
| Practice Telephone | 2563502211 |
| Mailing Telephone | 2564260020 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |
| Authorized Official Name | KELLY YOUNG (SOLE PROPRIETOR) |
| Authorized Official Telephone | 2564260020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
1-117362 | AL | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| California Contractor Licenses | KELLY YOUNG KIM | 8401 Cottonwood Ave #118, Fontana, CA 92335 |
| Street Address |
1874 BELTLINE RD SW |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-5514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013900166 | Davila Pediatrics P.C. | Pediatrics | 1874 Beltline Rd Sw, Suite 110, Decatur, AL 35601-5514 | 2005-08-24 |
| 1144703430 | Malea Robinson | Nurse Practitioner | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2018-09-12 |
| 1336639491 | Harvey Andrew Pleasanton Jr. | Registered Nurse | 1874 Beltline Rd Sw, Decatur, AL 35601 | 2018-05-15 |
| 1568840684 | Physynergy, LLC | Anesthesiology | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2015-05-08 |
| 1376883934 | Sherri A Pester | Dietitian, Registered | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2013-02-19 |
| 1740554054 | Hh Health System-morgan Inc. | Internal Medicine | 1874 Beltline Rd Sw, Suite 107, Decatur, AL 35601-5514 | 2012-03-05 |
| 1700150026 | Hh Health System-morgan Inc. | Pediatrics | 1874 Beltline Rd Sw, Suite 110, Decatur, AL 35601-5514 | 2012-03-05 |
| 1285904276 | Hh Health System - Morgan, Inc. | General Acute Care Hospital | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2012-01-06 |
| 1205122249 | Jacqueline Kay Rutherford | Nurse Practitioner | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2011-06-28 |
| 1770877599 | Melissa Foster Lonnergan | Registered Nurse | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2011-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578048278 | Imc-emergency Physicians LLC | Clinic/Center | 1815 Hand Ave, Bay Minette, AL 36507-4110 | 2018-09-27 |
| 1407010416 | Marion Regional Medical Center | Clinic/Center | 1256 Military St S, Hamilton, AL 35570-5003 | 2008-07-18 |
| 1578734976 | Marion Regional Medical Center, Inc. | Clinic/Center | 1256 Military St S, Hamilton, AL 35570-5003 | 2008-03-13 |
| 1710044698 | Emerald Healthcare Group Pa | Clinic/Center | 1613 N Mckenzie Street, Foley, AL 36535 | 2007-01-02 |
| 1639234982 | Greenhill Family Clinic, LLC | Clinic/Center | 351 Highway 64, Killen, AL 35645 | 2006-12-27 |
Please comment or provide details below to improve the information on KELLY YOUNG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.