MR. GREGORY YOUNG SR. (NPI# 1760933519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760933519 |
| Entity Type | Individual |
| Full Name | MR. GREGORY YOUNG SR. |
| Practice Address |
1710 Lamar Ave Waycross GA 31503-5852 |
| Practice Telephone | 9128165867 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063781870 | Gregory Walter Young | Psychiatry & Neurology | 6512 Laguna Park Dr, Elk Grove, CA 95758-4856 | 2011-12-22 |
| 1326231382 | Gregory Antonio Young Sr. | Social Worker | 3308 Lehigh Dr, Little Rock, AR 72204-9101 | 2007-08-23 |
| 1306994066 | Gregory Douglas Young | Chiropractor | 200 Se 1st St, Andrews, TX 79714-7115 | 2007-01-08 |
| 1689739005 | Gregory J Young | Optometrist | 7300 Dodge St Ste 139, Omaha, NE 68114-3603 | 2006-12-26 |
| 1215991294 | Gregory E Young | Emergency Medicine | 8590 Phillips Rd, Holland, NY 14080-9665 | 2006-04-14 |
| 1689676009 | Gregory Girard Young | Podiatrist | 1919 S 16th St, Wilmington, NC 28401-6610 | 2005-08-15 |
| 1932748985 | Gregory Davis Young | Physical Therapist | 6383 E Girard Pl, Denver, CO 80222-7447 | 2019-12-21 |
| 1922644137 | Gregory L Young | Specialist/Technologist, Other | 800 N 1st St, Springfield, IL 62702-3719 | 2019-11-22 |
| 1437656535 | Gregory Allen Young | Behavior Technician | 1411 Princess Anne Street, Fredericksburg, VA 22401 | 2018-04-06 |
| 1871877522 | Gregory Young | Pharmacist | 3084 W Galbraith Rd, Cincinnati, OH 45239-4282 | 2011-09-29 |
| Street Address |
1710 LAMAR AVE |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31503-5852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770855868 | Bertha Richardsaon | Community/Behavioral Health | 1614 Carswell Ave, Waycross, GA 31503 | 2012-02-03 |
| 1134365893 | Carla Pye Winn | Nurse Practitioner | 1003 Mary St, Waycross, GA 31503 | 2008-12-31 |
| 1801051297 | Unison Behavioral Health | Substance Abuse Rehabilitation Facility | 3455 Harris Road, Waycross, GA 31503 | 2008-07-24 |
| 1073650115 | Unison Behavioral Health | Community/Behavioral Health | 1003 Mary Street, Waycross, GA 31503 | 2007-01-30 |
| 1588701635 | Unison Behavioral Health | Community/Behavioral Health | 2033 Bell Street, Waycross, GA 31503 | 2007-01-30 |
| 1801933957 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 3201 Harris Road, Waycross, GA 31503 | 2007-01-30 |
| 1902943046 | Unison Behavioral Health | Community/Behavioral Health | 310 Williams Street, Waycross, GA 31503 | 2007-01-30 |
| 1285770578 | Unison Behavioral Health | Community/Behavioral Health | 305 N Nicholls Street, Waycross, GA 31503 | 2007-01-30 |
| 1538223672 | Diversified Resources, Inc. | Case Manager/Care Coordinator | 147 Knight Ave Cir, Waycross, GA 31503 | 2006-12-21 |
| 1669578167 | James Gregory Morris | Dentist | 2458 Memorial Drive, Waycross, GA 31503 | 2006-09-15 |
| Find all providers in zip 31503 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710533195 | Rachel Nicole Reesehoward | Contractor | 1003 Darling Ave, Waycross, GA 31501-6328 | 2019-08-12 |
| 1679080154 | Tiffany Denise Tyler | Contractor | 301 Garlington Ave Apt 97, Waycross, GA 31503-2715 | 2018-01-05 |
| 1609160357 | Colleen Heather Aldridge | Contractor | 748 Miles Still Rd, Waycross, GA 31503-3134 | 2011-05-30 |
| 1184174666 | Yolanda Williams | Contractor | 910 Maple St, Waycross, GA 31501-6420 | 2016-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900011 | Tamekia Richardson | Contractor | 861 Frank Rd, Fitzgerald, GA 31750-9049 | 2020-10-20 |
| 1285232777 | Khrystal Wright | Contractor | 4016 Foxborough Blvd, Valdosta, GA 31602-6726 | 2020-10-15 |
| 1922605690 | Mary Sonya Jackson | Contractor | 5480 Hedge Brooke Pointe Nw, Acworth, GA 30101-7142 | 2020-10-06 |
| 1790392652 | Najee Shafi | Contractor | 100 Archstone Sq, Mcdonough, GA 30253-5820 | 2020-09-24 |
| 1144837071 | Angela M Bodie | Contractor | 406 Carrington Green Pkwy, Mcdonough, GA 30252-7693 | 2020-09-24 |
| 1841806841 | Ashley De Plato | Contractor | 3813 Robin Ln, Valdosta, GA 31605-5124 | 2020-09-16 |
| 1407462401 | Pamela Woodard | Contractor | 868 Cochise Trl Se, Conyers, GA 30094-4538 | 2020-09-16 |
| 1821603606 | Sherenda Lashawn Ellis | Contractor | 1859 Petite Lane, Lithonia, GA 30058 | 2020-09-09 |
| 1316551377 | Holland Consulting Practice LLC | Contractor | 6307 Towne Lake Hts, Woodstock, GA 30189-4245 | 2020-09-07 |
| 1003420571 | Antonio Jones | Contractor | 700 Martin Luther King Jr Dr Sw Apt 206, Atlanta, GA 30314-4143 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
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| 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.