Jeffrey C Young (NPI# 1275007502, PAC ID# 8426381641) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1275007502 |
| PAC ID by PECOS | 8426381641 |
| Professional Enrollment ID | I20190603002547 |
| Full Name | Jeffrey C Young |
| Organization Legal Name | BYRDSTOWN MEDICAL CENTER, PLLC |
| Address |
8401 Hwy 111 Byrdstown TN 38549-1006 |
| Phone Number | 9318643187 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2264416676 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440187 | LIVINGSTON REGIONAL HOSPITAL |
| 180106 | CLINTON COUNTY HOSPITAL, INC |
| 440059 | COOKEVILLE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8401 Hwy 111, Byrdstown, TN 38549-1006 | 9318643187 | BYRDSTOWN MEDICAL CENTER, PLLC |
| Organization Legal Name | BYRDSTOWN MEDICAL CENTER, PLLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Leah Webb | Nurse Practitioner | Byrdstown Medical Center, Pllc | 8401 Hwy 111, Byrdstown, TN 38549-1006 |
| William A Todd | Internal Medicine | Byrdstown Medical Center, Pllc | 8401 Hwy 111, Byrdstown, TN 38549-1006 |
| Matthew J King | Internal Medicine | Byrdstown Medical Center, Pllc | 8401 Hwy 111, Byrdstown, TN 38549-1006 |
| Cynthia K. Cahill | Family Practice | Byrdstown Medical Center, Pllc | 8401 Hwy 111, Byrdstown, TN 38549-1006 |
| Jori L Shaffer | Internal Medicine | Byrdstown Medical Center, Pllc | 8401 Hwy 111, Byrdstown, TN 38549-1006 |
| Larry M Mason | Family Practice | Byrdstown Medical Center, Pllc | 8401 Hwy 111, Byrdstown, TN 38549-1006 |
| Street Address |
8401 HWY 111 |
| City | BYRDSTOWN |
| State | TN |
| Zip | 38549-1006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Leah Webb | Nurse Practitioner | Byrdstown Medical Center, Pllc | 8401 Hwy 111, Byrdstown, TN 38549-1006 |
| William A Todd | Internal Medicine | Byrdstown Medical Center, Pllc | 8401 Hwy 111, Byrdstown, TN 38549-1006 |
| Matthew J King | Internal Medicine | Byrdstown Medical Center, Pllc | 8401 Hwy 111, Byrdstown, TN 38549-1006 |
| Cynthia K. Cahill | Family Practice | Byrdstown Medical Center, Pllc | 8401 Hwy 111, Byrdstown, TN 38549-1006 |
| Jori L Shaffer | Internal Medicine | Byrdstown Medical Center, Pllc | 8401 Hwy 111, Byrdstown, TN 38549-1006 |
| Larry M Mason | Family Practice | Byrdstown Medical Center, Pllc | 8401 Hwy 111, Byrdstown, TN 38549-1006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly Pendel | Optometry | Eye Centers of Tennessee, LLC | 8401, Suite 111, Byrdstown, TN 38549 |
| Amanda Collier | Nurse Practitioner | Shc Medical Partners of Tennessee, LLC | 129 Hillcrest Dr, Byrdstown, TN 38549-2326 |
| Laura B Reagan | Physical Therapy | 202 W Main St, Byrdstown, TN 38549-2401 |
| City | BYRDSTOWN |
| Zip Code | 38549 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BYRDSTOWN + PHYSICIAN ASSISTANT |
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| 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.