Charles A Young (NPI# 1083616932, PAC ID# 6507815313) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1083616932 |
| PAC ID by PECOS | 6507815313 |
| Professional Enrollment ID | I20050119000712 |
| Full Name | Charles A Young |
| Organization Legal Name | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| Address |
400 Cedar St Metter GA 30439-3338 |
| Phone Number | 9126606220 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0042389231 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110125 | FAIRVIEW PARK HOSPITAL |
| 110095 | TIFT REGIONAL MEDICAL CENTER |
| 110132 | MEMORIAL HOSPITAL AND MANOR |
| 110092 | DODGE COUNTY HOSPITAL |
| 110128 | MEADOWS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 8885455551 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 163 E Tollison St, Baxley, GA 31513-0120 | 9123679841 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 7 Canterbury Ln, Bluffton, SC 29910-7832 | 8885455551 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 104 Fairview Park Dr, Dublin, GA 31021-2500 | 9126606220 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 200 Industrial Blvd, Dublin, GA 31021-2981 | 8885455551 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 901 Griffin Ave, Eastman, GA 31023-6720 | 9126606220 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 9126606220 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 400 Cedar St, Metter, GA 30439-3338 | 9126606220 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 8 Cobham Draw, Pooler, GA 31322-9618 | 8885455551 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| Organization Legal Name | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Tyler Burgner | Diagnostic Radiology | South Georgia Radiology Associates LLC | 340 Eisenhower Dr, Suite 1305, Savannah, GA 31406-1607 |
| James S Mcclellan Jr. | Diagnostic Radiology | South Georgia Radiology Associates LLC | 407 Durden St, Vidalia, GA 30474-4600 |
| Arthur L Fritz | Diagnostic Radiology | South Georgia Radiology Associates LLC | 4045 Lankford Hwy, Exmore, VA 23350-2642 |
| Jeremy R Hill | Diagnostic Radiology | South Georgia Radiology Associates LLC | 5801 Pinehurst Byromville Rd, Pinehurst, GA 31070-6907 |
| Burton D Goodwin | Diagnostic Radiology | South Georgia Radiology Associates LLC | 215 Mims Rd, Sylvania, GA 30467-1994 |
| Thomas M Meadows | Diagnostic Radiology | South Georgia Radiology Associates LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Deborah J Charles | Diagnostic Radiology | South Georgia Radiology Associates LLC | 902 N 7th St, Cordele, GA 31015-3234 |
| Ian B Campbell | Diagnostic Radiology | South Georgia Radiology Associates LLC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Jeffrey David Stevens | Diagnostic Radiology | South Georgia Radiology Associates LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Dale R Nance | Diagnostic Radiology | South Georgia Radiology Associates LLC | 407 Durden St, Vidalia, GA 30474-4600 |
| Street Address |
400 CEDAR ST |
| City | METTER |
| State | GA |
| Zip | 30439-3338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maryn C Chandler | Physician Assistant | Hospital Authority of Candler County | 400 Cedar St, Metter, GA 30439-3706 |
| Olalekan Akinyokunbo | General Practice | Hospital Authority of Candler County | 400 Cedar St, Metter, GA 30439-3338 |
| Robert M Roberson | Certified Registered Nurse Anesthetist (crna) | Rmr IIi Consulting Inc | 400 Cedar St, Metter, GA 30439-3338 |
| Erin R Tanner | Internal Medicine | Hospital Authority of Candler County | 400 Cedar St, Metter, GA 30439-3338 |
| Karen Hanna | Cardiovascular Disease (cardiology) | St Josephs Cardiology Group LLC | 400 Cedar St, Metter, GA 30439-3338 |
| Claude Su | Cardiovascular Disease (cardiology) | St Josephs Cardiology Group LLC | 400 Cedar St, Metter, GA 30439-3338 |
| Kathryn Hilovsky Janufka | Physician Assistant | East Georgia Hma Physician Management LLC | 400 Cedar St, Metter, GA 30439-3338 |
| Yvonne C Donaldson | Nurse Practitioner | Hospital Authority of Candler County | 400 Cedar St, Metter, GA 30439-3706 |
| Don R Connell | Diagnostic Radiology | South Georgia Radiology Associates LLC | 400 Cedar St, Metter, GA 30439-3338 |
| John H Ashley Iv | Physician Assistant | St Josephs Cardiology Group LLC | 400 Cedar St, Metter, GA 30439-3338 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Jackson Jr. | Nephrology | 10 Doctors St, Metter, GA 30439-3337 | |
| John Dorsey Smith | Family Medicine | Hospital Authority of Candler County | 400 Cedar St, Metter, GA 30439-3706 |
| Michael E Gasiecki | Chiropractic | 60 N Rountree St, Metter, GA 30439-4019 | |
| Floyd A Soriano | General Practice | East Georgia Healthcare Center, Inc. | 34 Nw Broad St, Metter, GA 30439-4025 |
| Qian Tang | Nurse Practitioner | Candler Internal Medicine | 380 Cedar St A, Metter, GA 30439-4042 |
| James L Walker | Nurse Practitioner | Tattnall Hospital Company LLC | 380 A Cedar St, Metter, GA 30439-4042 |
| Brenda M Thompson | Nurse Practitioner | Hospital Authority of Candler County | 380 Cedar St, Metter, GA 30439-4042 |
| Roger W Beville | Family Medicine | Tattnall Hospital Company LLC | 380 A Cedar St, Metter, GA 30439-4042 |
| Raina Synder Cliett | Nurse Practitioner | Candler Internal Medicine | 380 Cedar St A, Metter, GA 30439-4042 |
| Teresa L Buckles | Nurse Practitioner | Candler Internal Medicine | 380 Cedar St A, Metter, GA 30439-4042 |
| Find all physicians in zip 30439 | |||
| City | METTER |
| Zip Code | 30439 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | METTER + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Charles A Young.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.